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 [4] Crystalline B12 the form found in supplements and fortified foods does not require acid or pepsin for release
It is also involved in cell metabolism affecting energy and overall metabolic health
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Side Effects of B12 Injections While B12 injections are generally safe, they may cause side effects in some individuals
Signs of degradation include clumping, discoloration, or off-odor of the powder
Follow your physicians directions for safe and effective use