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People Who Have Had Gastric Surgery Gastric bypass surgery (like Roux-en-Y), sleeve gastrectomy, or other bariatric procedures significantly reduce the stomachs ability to produce intrinsic factor a protein required to absorb B12 in the small intestine

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When vitamin B12 levels become too low, it can lead to symptoms such as: Fatigue or low energy Weakness Numbness or tingling in the hands and feet Memory or concentration problems If vitamin B12 deficiency is severe or lasts a long time, it can lead to nerve damage