The deficiency needs to be corrected through supplementation that bypasses the damaged absorption pathway, while the underlying gut or pancreatic condition is treated separately
Fortunately, the post-bariatric periodic screenings that every patient will undergo is finely tuned to address both B12 and other vitamin deficiencies
It affects teens with heavy menstrual cycles, older adults with GI bleeding, and anyone with a poor diet or malabsorption issues
However, dosing on a completely empty stomach can increase nausea severity
It is prohibited at all times in an out of competition and is not eligible for the therapeutic use exemption because it has no approved therapeutic uses
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