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Summary: B12 deficiency after gastric sleeve surgery occurs because the procedure reduces intrinsic factor production and gastric acid secretion, impairing vitamin B12 absorption and requiring lifelong supplementation

People who take certain medications may also be at risk of vitamin B12 deficiency, including, but not limited to, estrogen, H2 receptor antagonists, PPIs (Proton Pump Inhibitors), Chloramphenicol, and Metformin

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Popular treatments include the Myers' Cocktail , a combination of vitamin C, B vitamins, magnesium, and calcium that is often used for energy, immune support, and overall wellness