Patients who have undergone gastric bypass or other bariatric procedures have surgically altered anatomy that reduces the absorptive surface area in the stomach and small intestine
Some patients might move from, say, weekly injections to monthly injections as maintenance, then eventually to none if possible
Stomach acid is necessary for making Vitamin B12 available from food
The good news is that severe side effects are very rare, including joint and muscle aches and pains, numbness, and swelling
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How is this possibly a good use of our time as a community if our goal is actually to establish norms for fair competition