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The surgery also changes how the body makes digestive enzymes and bile acids, making nutrient absorption harder

Individuals on limited budgets who absorb oral supplements effectively can maintain B12 status economically

fatigue, depression, neurological complications), health-related quality of life, or acceptability of the treatment scheme. Authors conclusions: Low quality evidence shows oral and IM vitamin B12 having similar effects in terms of normalising serum vitamin B12 levels, but oral treatment costs less