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This surgery can make it harder to get vitamin B12 from food

142 After NSAIDs 54 - 57 , 61 or insulin overdose 143 or cuprizone (a neurotoxin that induces multiple sclerosis like lesion in rat model) 92 or large bowel resection, 57 encephalopathies were attenuated along with gastrointestinal, liver and vascular injuries

PMID 17947396