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When you bypass the stomach or put a band around the stomach, or any of these various surgical procedures to reduce weight, you diminish the capacity to absorb B12, says Green
For example, animals like sheep and cows produce B12 internally due to their intestinal bacteria (not present in humans), which goes into their milk
They may recommend some simple dietary changes , or other treatments like vitamin B12 injections
The FDA has classified it as a Category 2 bulk drug substance, which restricts compounding pharmacies from producing it
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