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Deficiency after gastric banding is therefore primarily related to: Reduced dietary intake and food tolerance , limiting consumption of B12-rich foods Use of acid-suppressing medicines (PPIs or H2RAs) , which can impair the release of B12 from food proteins and reduce absorption of food-bound B12 Crystalline B12 the form found in supplements and fortified foods does not require acid or pepsin for release

5 Supports Bone Health: Studies suggest that a lack of vitamin B12 may lead to decreased bone mass and increased risk of osteoporosis

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Anti-inflammatory nutrients like omega-3 fatty acids help manage the healing environment without blunting the necessary repair signals