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Absorption problems Even with adequate intake, absorption can be reduced by: Certain gastrointestinal conditions affecting the stomach or small intestine Some medications Age-related reduction in stomach acid (which can affect absorption) Autoimmune gastritis (often historically referred to as pernicious anaemia) This is a well-recognised cause of B12 deficiency and may require ongoing management

Thiamin Deficiency After Bariatric Surgery May 04, 2024 Having bariatric surgery can lead to vitamin deficiencies in people who do not follow recommended supplementation

Johanna M

(PubMed) Agnoli C, Grioni S, Krogh V, et al

Vitamin B12 Injection Q & A What is vitamin B12