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Risk increases significantly after 2+ years of use Post-bariatric surgery patients gastric bypass removes or bypasses the sites of intrinsic factor production and B12 absorption People with autoimmune conditions pernicious anemia (anti-intrinsic factor antibodies) and autoimmune gastritis directly block absorption People with GI conditions Crohns disease (especially ileal involvement), celiac disease, SIBO, and chronic H

over a month) ongoing or recurrent signs of digestive disturbance e.g

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Many people choose to take vitamin B12 earlier in the day and vitamin D with a meal, but timing can be adjusted based on personal preference and routine

These vitamins are vital for energy production and nerve function, supporting the body as it adapts to changes initiated by Semaglutide