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Some medications can also affect absorption of Vitamin B12 in the gut, and B12 deficiency can be an issue if you have had weight loss surgery

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In addition to education on proper treatment administration, the participants of the study also received dietary and physical activity counseling aimed towards achieving 150 minutes of physical activity per week and a 500 calorie deficit per day

Researchers generally describe these effects as dose- and duration-dependent rather than inherent to any exposure level

Some patients are unable to break down the protein to absorb vitamin B12 into the bloodstream while others are at risk for low levels of B12 because the food consumed doesnt contain high enough amounts of B12, such as vegetarians or vegans