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[1] [2] Following sleeve gastrectomy, the substantial reduction in stomach volume means fewer parietal cells are available, leading to a reduction in intrinsic factor production though the degree varies between individuals and intrinsic factor production does not cease entirely

10.1002/jmd2.12055

Yes, but oral supplements show slower and less predictable results compared to injections or IV therapy
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Giving subcutaneous injections is a bit easier because you don't have to worry about hitting a blood vessel or vein