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The stomach must also be able to produce enough stomach acid for optimal B12 absorption

It is essential for bariatric surgery patients to work closely with their healthcare team to develop a post-surgery plan that includes adequate vitamin B12 supplementation

The biggest changes are usually seen by people who were low to begin with

Patients may notice reduced fatigue and improved wellbeing within two to four weeks, whilst macrocytic anaemia typically resolves over six to eight weeks