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People, who have had bariatric surgery procedures such as sleeve gastrectomy, Roux-en-y gastric bypass, duodenal switch, one anastomosis (mini) gastric bypass, single anastomosis duodenal ileal switch (SADIS), have reduced absorption of vitamin B12 and increased risk of developing vitamin B12 deficiency

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These include painful abscesses or other damages from an incorrect intramuscular injection

7 Compared with placebo, patients taking metformin had an increased risk of vitamin B 12 deficiency (number needed to harm = 14 per 4.3 years) and low vitamin B 12 levels (number needed to harm = 9 per 4.3 years)

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