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Women with confirmed or suspected B12 deficiency should discuss appropriate supplementation with their GP or midwife to support optimal outcomes for both mother and baby

CC and FV collected the data

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

The treated fat cells get crystallized and die

A summary of these key results is found in Fig