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Deficiency is also high in those who have had intestinal surgery including weight loss surgeries such as gastric sleeves/bands
Screening may be warranted in patients with one or more risk factors, such as gastric or small intestine resections, inflammatory bowel disease, use of metformin for more than four months, use of proton pump inhibitors or histamine H 2 blockers for more than 12 months, vegans or strict vegetarians, and adults older than 75 years
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When you arrive at our office, one of our experienced healthcare providers will greet you and review your medical history, current symptoms, and the reason for your B12 supplementation
