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The practical implications are severe: More is not conservative
Deficiency after gastric banding is therefore primarily related to: Reduced dietary intake and food tolerance , limiting consumption of B12-rich foods Use of acid-suppressing medicines (PPIs or H2RAs) , which can impair the release of B12 from food proteins and reduce absorption of food-bound B12 [4] Crystalline B12 the form found in supplements and fortified foods does not require acid or pepsin for release
This option suits patients with moderate body composition goals, patients who want the convenience of one daily injection, and those who are not specifically targeting maximum visceral fat reduction
