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Certain types of bariatric surgery gastric bypass and duodenal switch can lead to permanent problems absorbing vitamin B12, since the bodys ability to digest food is permanently changed

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Semaglutide side effects include nausea, abdominal pain, diarrhea, and irritation at the injection site, although the medication is usually well tolerated

The system will fight those that don't belong to the body

(More information) Vitamin B 12 deficiency is commonly associated with chronic stomach inflammation, which may contribute to an autoimmune vitamin B 12 malabsorption syndrome called pernicious anemia and to a food-bound vitamin B 12 malabsorption syndrome

A lack of any B vitamins may result in decreased feed intake, which ultimately affects performance, weight management, and overall efficiencies