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Once reconstituted, the blend should be refrigerated and used within the stability window appropriate for the compounds

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

Scientific References Frequently Asked Questions Will I feel better immediately after my first B12 injection

Stress Management Chronic stress elevates cortisol, which impairs tissue healing and increases inflammation