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Symptoms of Vitamin B12 Deficiency in Gastric Bypass Surgery Patients While it is true that a bariatric patient, especially gastric bypass patients, are more likely to suffer from B12 deficiency, it does not mean it will occur in 100% of the cases

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A retrospective study looking at concomitant use of proton pump inhibitors (PPIs) alongside metformin in 614 people with type 2 diabetes in the US found a significant reduction in B12 levels of 34% in patients taking both medications, compared to controls taking either drug alone (Long et al, 2012)

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You should fully insert the needle into the muscle before pushing the plunger