Procedures like gastric bypass or sleeve gastrectomy permanently alter the stomach anatomy, reducing intrinsic factor production and the surface area available for B12 absorption
Plant foods typically dont contain vitamin B12 unless they are fortified with it, such as some fortified cereals
This work was supported by grants from the National High Level Hospital Clinical Research Funding (2022-PUMCH-B-010) and National Key Research & Development Plan of China, major project of prevention and treatment for common diseases (2022YFC2505300, subproject: 2022YFC2505304)
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