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Other factors include: Underlying cause of deficiency : Pernicious anaemia, malabsorption disorders, or dietary insufficiency may affect treatment response Medication use : Metformin and proton pump inhibitors can reduce gastrointestinal B12 absorption (though this does not affect the efficacy of intramuscular injections) Individual variation : Differences in how efficiently your body utilises the injected vitamin Adherence to treatment schedule : Missing injections or delaying maintenance doses can slow recovery Discussing these factors with your healthcare provider helps set realistic expectations for your treatment journey

Most people can resume normal activities right after their visit

They will model the most basic functions of human life sleeping, eating, seeing on his sober advice

Given the well-established risk of B12 deficiency after sleeve gastrectomy, lifelong supplementation is widely recommended by bariatric surgery teams across the UK