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Reticulocytes are immature red blood cells
Deficiency after gastric banding is therefore primarily related to: Reduced dietary intake and food tolerance , limiting consumption of B12-rich foods Use of acid-suppressing medicines (PPIs or H2RAs) , which can impair the release of B12 from food proteins and reduce absorption of food-bound B12 [4] Crystalline B12 the form found in supplements and fortified foods does not require acid or pepsin for release
This is very important for those with severe deficiencies
Without enough B12, people may feel tired, weak, foggy, or run-down
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