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patients should follow the advice of their own bariatric team.) Because intrinsic factor production is reduced after surgery, the standard oral route of B12 absorption which relies on intrinsic factor is less reliable

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Selenium supplementation can be considered for Se-deficient individuals with subclinical hypothyroidism, mainly if there is a co-existing autoimmune component

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Vegetarians and Vegans : Since B12 is primarily found in animal products, strict vegetarians and vegans are at a higher risk of deficiency and might require supplementation

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