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Having gastric surgery also increases the risk of b12 deficiency
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Vitamin B12 Deficiency and Mood Disorders: A deficiency in vitamin B12 can contribute to a variety of neurological and psychiatric symptoms, such as mood changes, irritability, and even depression

A: The medication comes in the form of an injectable solution (ampoule)

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doi: 10.1186/1752-1947-4-305