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Hence they look and feel a whole lot better
That role is real and well described in biochemistry

Malabsorption Disorders: Conditions such as pernicious anemia, Crohns disease, celiac disease, or a history of gastric bypass surgery can hinder B12 absorption

Its effect is more targeted and incremental

Patients who have had their band removed or adjusted, or who have experienced significant weight regain, may have altered nutritional needs and should seek reassessment from their bariatric team