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[114] This functionality is lost in vitamin B 12 deficiency, and can be measured clinically as an increased serum methylmalonic acid (MMA) concentration

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

At Pristine Naturopathic Medicine in Tucson, Arizona, Noemi Quintanar, ND, RM, MT, provides comprehensive consultations to identify the issue causing your symptoms before offering customized naturopathic therapies to heal your body and restore your health and quality of life

Discard the used needle into a Sharps container, syringes are single use only