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One fascinating study published in the journal The Proceedings of the Nutrition Society describes how the process works

If you or a family member has undergone gastrointestinal surgeryincluding weight-loss procedures or the removal of part of the stomach or intestinesB12 absorption can be affected, making injections a helpful option

[DOI] [PMC free article] [PubMed] [Google Scholar] [19].Perl A, Hanczko R, Lai Z-W, et al

[DOI] [PMC free article] [PubMed] [Google Scholar] 341.Lee KW, Chen W, Junn E, Im JY, Grosso H, Sonsalla PK, Feng X, Ray N, Fernandez JR, Chao Y, Masliah E, Voronkov M, Braithwaite SP, Stock JB, and Mouradian MM