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pylori infection chronic excess alcohol use pancreatic insufficiency intestinal bacterial overgrowth Gastrectomy/ bariatric surgery and gastritis Causes of food cobalamin malabsorption can be directly related with the stomach: Bariatric surgery it can depend on the type of procedure and what area of the stomach or intestines are removed Gastrectomy removal of part or all of the stomach Gastritis inflammation of the stomach lining Gastrectomy, bariatric surgery, and gastritis cause vitamin B12 deficiency due to an absence of stomach acids that help to remove vitamin B12 from food proteins, for example red meat

Be cautious with alcohol Alcohol doesnt usually require total avoidance, but it can increase bleeding tendencies and blunt your ability to notice symptoms

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Traitement oral de l'anmie due un apport insuffisant en vitamine B12 chez les vgtaliens stricts : verser le contenu de l'ampoule dans un verre d'eau : - En traitement initial : une ampoule par jour pendant 15 jours 1 mois

Supplements: Vitamin B12 is available as oral supplements, sublingual lozenges or sprays, for those who have difficulty with absorption or follow a vegan diet