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This delayed presentation makes routine monitoring particularly important for all gastric banding patients, regardless of how well they feel in the short term

However, there are many unusual symptoms associated with vitamin B12 deficiency, and most will disappear after taking vitamin B12 long enough to get the stores up to a normal amount and have maintained stable levels of vitamin B12

Symptomatic vitamin deficiency is more likely if the person is rendered achlorhydric (a complete absence of gastric acid secretion), which occurs more frequently with proton pump inhibitors than H 2 blockers

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