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Poor absorption can also contribute to deficiency and may occur with digestive conditions such as inflammatory bowel disease, irritable bowel syndrome or coeliac disease

Always list all medicines, supplements, and herbal products you use

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Deficiency after LAGB is primarily driven by reduced intake of B12-rich foods and use of acid-suppressing medicines such as PPIs or H2RAs

For example: Energy levels often improve first, sometimes within the same day

pH adjusted with hydrochloric acid or sodium hydroxide if necessary