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They may say its okay to stay on your multivitamin, itll just ensure youre getting everything else too, or they may prefer you stop it during injection treatment to accurately assess what the injection alone is doing for you

Adv Nutr 2022;13:1633

Post-bariatric surgery patients Surgical alteration of the stomach or small intestine reduces the absorptive surface area for B12

1 Certain risk factors increase the prevalence of vitamin B 12 deficiency (Table 1)