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CONCERN #10: A SLUGGISH METABOLISM AND WEIGHT LOSS RESISTANCE Description: You feel like you're doing everything rightcounting calories, exercisingbut the scale won't budge

Table of Contents Why Vitamin B12 Deficiency Can Occur After Gastric Banding How Gastric Banding Affects Vitamin B12 Absorption Recommended Dosage and Frequency After Bariatric Surgery Signs Your B12 Levels May Need Monitoring Long-Term Nutritional Follow-Up After Gastric Banding Scientific References Frequently Asked Questions Why Vitamin B12 Deficiency Can Occur After Gastric Banding B12 deficiency after gastric banding is primarily caused by reduced tolerance of B12-rich foods and use of acid-suppressing medicines

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Injections bypass the gastrointestinal tract and are the standard treatment for pernicious anaemia and severe deficiency in the UK

Tissue-level deficiency of cobalamin is associated with an increase in the urinary and serum concentrations of an organic acid called methylmalonic acid, which is an alternative product of a cobalamin dependent pathway within the mitochondria