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A major issue is that the test must be done prior to treatment with pharmacological doses of the vitamin, and thus the patient may display a temporary B12 malabsorption caused by an intestine suffering from the lack of B12

Since bariatric surgery causes weight loss and T2D remission with enhanced postprandial GLP-1 secretion, the role of GLP-1 as a mediator of surgery-associated benefits has been investigated

Nothing I've read or the neurologist I saw read has convinced me oral b12 works as well for most people with PA or another absorbtion problem

Addressing constipation through fiber, hydration, and gentle osmotic laxatives often reduces sulfur burp frequency as a secondary benefit