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This is because issues with regular function of the gastrointestinal tract can prevent the proper release and absorption of the vitamin, which can cause a deficiency if not supplemented properly

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Arch Surg 140:946951 Watson DI, Thompson SK, Devitt PG, Smith L, Woods SD, Aly A, Gan S, Game PA, Jamieson GG (2015) Laparoscopic repair of very large hiatus hernia with sutures versus absorbable mesh versus nonabsorbable mesh: a randomized controlled trial

If you don't have a deficiency, you probably won't notice any benefits from a B12 shot, especially since any excess is simply excreted through urine

He and his wife, Keli, have a sort of his-and-hers practice: she co-founded a wellness spa next door