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Similarly, if you use proton pump inhibitors or H2 receptor antagonists for acid reflux or peptic ulcers, your stomach acid levels may decrease, making it harder for your body to absorb B12 from your diet

Some compounded Lipo-B products may specify storage at room temperature or refrigerated

Also, after weight loss surgery, patients are on a very restricted diet and adjusting to a reduction in stomach capacity making it difficult to ingest all the nutritional supplements required

A clinical vignette I once saw a woman in her 60s who believed B12 shots would be the weight solution shed been searching for