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[5] Similarly, individuals who have undergone gastrointestinal surgery particularly gastric bypass, gastrectomy, or ileal resectionoften have impaired B12 absorption and require supplementation

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In severe cases, neuropsychiatric symptoms can progress to include visual disturbances (which may reflect optic neuropathy), personality changes, or even psychosis, though these are less common

I have read contradictory information online and, if it works, for sure I would prefer this method