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Working closely with your healthcare team is key to a successful outcome after gastric bypass surgery

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The prevalence of cobalamin deficiency among vegetarians assessed by serum vitamin B12: a review of literature

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Approved Medical Uses: Prevention & Treatment of B12 Deficiency: Corrects low B12 due to poor nutrition, GI disorders, or malabsorption

Medical conditions affecting absorption warrant particular attention : Pernicious anaemia : an autoimmune condition destroying gastric parietal cells, requiring lifelong B12 injections Gastrointestinal surgery : particularly gastric bypass, gastrectomy, or terminal ileum resection Inflammatory bowel disease : Crohn's disease affecting the terminal ileum impairs absorption Coeliac disease : untreated disease damages the small intestine, reducing B12 uptake Medication use : long-term metformin therapy (MHRA safety alert) or nitrous oxide exposure Symptoms suggesting possible B12 deficiency include : persistent fatigue, weakness, paraesthesia (pins and needles) in hands or feet, glossitis (sore, red tongue), mood changes, memory problems, or unexplained anaemia