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Description
By addressing anatomical changes and reinforcing the structure of the original bypass, the revision allows patients to rebuild momentum and move forward with clarity and purpose

based on efficacy and convenience

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Older Adults: As we age, our bodies produce less stomach acid, which is necessary to separate B12 from the protein it is attached to in food

Injections are particularly appropriate for those with: Pernicious anaemia, an autoimmune condition affecting B12 absorption Conditions affecting the stomach or small intestine, such as Crohns disease or coeliac disease Those who have had gastric surgery or bariatric procedures Strict vegans and vegetarians not meeting their B12 needs through food or oral supplements For those who can absorb B12 normally, oral supplements are generally an effective and well-evidenced alternative to injections
