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You are at risk for B12 deficiency if you: Are a vegetarian Are a vegan Have chronic gastritis Have had previous surgery on your stomach Have any chronic bowel conditions, such as Chrons disease or colitis You take certain medications, such as proton pump inhibitors (PPI's) - a medicine sometimes used to treat heartburn and indigestion What are the signs and symptoms associated with a B12 deficiency

It can serve as a standalone protocol for partial injuries, or as a perioperative adjunct to improve surgical outcomes and reduce recovery time