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Post-Surgery Patients : People who have undergone intestinal surgery, including weight loss surgery (like gastric bypass), may have reduced capacity to absorb B12

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Together, the new findings suggest that when too much B12 is present, the bacteria have changes in their gene expression that suppress further synthesis of the vitamin

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Inflammation of Pancreas (Acute Pancreatitis): Monitor for signs of acute pancreatitis, including severe abdominal pain that does not go away, sometimes radiating to the back, with or without vomiting