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Gastric Bypass Surgery: Procedures that remove or bypass parts of the stomach and small intestine dramatically reduce the body's ability to extract B12

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"Patients will suffer from the usual side-effects of extreme tiredness, irrational behaviour, mood swings, memory problems." The British National Formulary, which sets guidelines for the use of vitamin B12 in pernicious anaemia, said the practice was based on the best available evidence base

General Medication Guidelines Missed Dose Instructions