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Diagnosis - Vitamin B12 or folate deficiency anaemia The public-facing NHS England page about Diagnosis - Vitamin B12 or folate deficiency

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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

Most absorption problems aren't treatable but a few are - notably h pylori infection - which would mean that once that has been dealt with you would be able to absorb B12 from your diet so wouldn't need maintenance shots for life

[44] So if youre sweating a lot regularly, you may be at a higher risk of iron deficiency