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He also mentioned that my vitamin D levels were low, as well

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 Crystalline B12 the form found in supplements and fortified foods does not require acid or pepsin for release

Parenteral administration is recommended for patients who are unable to take oral medications, such as before or after surgery, suffering from prolonged illness, or due to the inability to absorb vitamins in the gastrointestinal system