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Diagnosed Deficiency or Malabsorption if you have a confirmed deficiency in a vitamin that affects appetite (like B1, zinc, or iron) or a condition that impairs nutrient absorption (such as certain digestive disorders or post-surgical states), vitamin injections can be highly beneficial

pylori infection chronic excess alcohol use pancreatic insufficiency intestinal bacterial overgrowth Gastrectomy/ bariatric surgery and gastritis Causes of food cobalamin malabsorption can be directly related with the stomach: Bariatric surgery it can depend on the type of procedure and what area of the stomach or intestines are removed Gastrectomy removal of part or all of the stomach Gastritis inflammation of the stomach lining Gastrectomy, bariatric surgery, and gastritis cause vitamin B12 deficiency due to an absence of stomach acids that help to remove vitamin B12 from food proteins, for example red meat

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Any decision to combine these compounds should involve a healthcare provider who understands both mechanisms and can monitor for unexpected interactions

A balanced diet supports maintaining B12 levels once treatment normalizes them