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Alejandro Lpez, MD Bariatric Surgeon Tijuana Guadalajara Puerto Vallarta The Short Version Bariatric surgery removes or bypasses the cells that produce intrinsic factor the molecule that lets you absorb B12 from food

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Aliquot and store reconstituted solutions at 20 C or below to minimise degradation

Further, NASO B12 was well-tolerated throughout the treatment period.[] Patients on metformin therapy receiving NASO B12 should also be instructed that they will require weekly intranasal administration of NASO B12 spray in each nostril after correction of vitamin B12 deficiency for the remainder of their lives