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Description
I have struggled with multiple health issues and complications for years with an auto immune disease called Lupus SLE
Deficiency after gastric banding is therefore primarily related to: Reduced dietary intake and food tolerance , limiting consumption of B12-rich foods Use of acid-suppressing medicines (PPIs or H2RAs) , which can impair the release of B12 from food proteins and reduce absorption of food-bound B12 Crystalline B12 the form found in supplements and fortified foods does not require acid or pepsin for release

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10.1152/japplphysiol.01077.2006 137 SwaminathanS.BirudukotaS.ThakurM

Fatigue is another consideration at higher doses
