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People Who Have Had Gastric Surgery Gastric bypass surgery (like Roux-en-Y), sleeve gastrectomy, or other bariatric procedures significantly reduce the stomachs ability to produce intrinsic factor a protein required to absorb B12 in the small intestine

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I told them they had to go and get a B12 shot which they did every week for 6 weeks

Muscle preservation Some formulations include glycine along with b12, claiming this combination preserves muscle mass during weight loss