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Not getting enough B12 is very common in humans and it's not only due to lack of intake, but can also be from improper absorption from your body

Q J Med 2009;102:1728

You should discuss your goals with your surgeon and have realistic expectations so that your surgeon can determine what is achievable with the procedure depending on your anatomy

Dose-response relationships appear to be tissue-specific, with adipose tissue showing high sensitivity while other tissues may require higher concentrations for detectable effects