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Proton pump inhibitors (PPIs) and H2-receptor antagonists (H2RAs) are commonly prescribed after bariatric surgery and can impair the release of B12 from food proteins, reducing absorption of food-bound B12 over time
The bacteriostatic agent supports extended usability of reconstituted stocks under refrigerated storage
In some cases, high-dose daily oral B12 supplements (typically 1000 g daily) can also be used as an effective alternative or addition for maintenance therapy [9] [10]
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