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Gastric or bariatric surgery : Patients who have undergone weight loss surgeries such as gastric or bariatric surgery may experience B12 deficiency due to the unavailability of intrinsic factor after gastric or intestinal resection

The majority of cases of cobalamin deficiency are caused by a gastrointestinal issue that affects cobalamin absorption, even if the dogs diet is well balanced and theyre ingesting sufficient B12

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This uses calcium, magnesium, B vitamins, and methylcobalamin to fight hormonal symptoms and inflammation