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Gastric bypass surgery : This surgery alters the digestive system, reducing the bodys ability to absorb B12 from food and supplements.For these individuals, methylcobalamin B12 injections provide a direct way to bypass the digestive system and restore essential B12 levels

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Pharmacotherapy, 42(9), 659-667

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Sign up for our Food & Health newsletter, it's free monthly Symptoms of vitamin B12 deficiency According to the NHS, low B12 levels can cause a range of symptoms, including those that affect your brain and nervous system, such as confusion and memory issues