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10.18632/aging.100361 Aging 139 MoeziL.ShafaroodiH.HojatiA.DehpourA

2 A high serum B12 value does not mean that symptoms are treated sufficiently

Purity: Refer to current batch COA

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

These may include: Pernicious anemia: a condition in which the body cannot absorb enough vitamin B12

Renal Function Assessment: Kidney disease increases risk of oxalate nephropathy from vitamin C metabolites