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People Who Have Had Gastric Surgery Gastric bypass surgery (like Roux-en-Y), sleeve gastrectomy, or other bariatric procedures significantly reduce the stomachs ability to produce intrinsic factor a protein required to absorb B12 in the small intestine

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The point is not that you need to have classic symptoms for the deficiency to matter

Even in people without overt deficiency, B12 injections can correct subclinical insufficiency more rapidly than oral supplementation

Who might benefit from B12 supplementation

Key Benefits: Supports fat metabolism for weight management