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The shorten gut transit time and lack of digestive fluids after surgery means it becomes harder to absorb zinc from dietary protein which further compounds zinc deficiency

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Pernicious anemia can have a genetic link and is more common in people who have other autoimmune conditions like thyroid, type 1 diabetes, Addisons and Graves disease

It is easier to break and has no byproducts like cyanocobalamin

Vitamins and minerals sometimes taken orally, and sometimes administered via IV or as a vitamin injection can help