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Risk increases significantly after 2+ years of use Post-bariatric surgery patients gastric bypass removes or bypasses the sites of intrinsic factor production and B12 absorption People with autoimmune conditions pernicious anemia (anti-intrinsic factor antibodies) and autoimmune gastritis directly block absorption People with GI conditions Crohns disease (especially ileal involvement), celiac disease, SIBO, and chronic H

Vitamin B12 deficiency signs include exhaustion, rapid heartbeat, brain fog, and other symptoms How is a Vitamin B12 shot administered

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According to the Vitamin B12 is present in a range of foods, including: eggs poultry fish meat milk and other dairy products beef liver clams some fortified breakfast cereals and nutritional yeasts Dietary supplements are also available for those who do not consume enough vitamin B12 as part of their diet

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