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Well, normally this vitamin is absorbed in the gut and so a disruption to normal gut function will reduce the amount of vitamin B12 that's being absorbed by the intestines and that will lead to a depletion of the normal body stores, which will then result in a deficiency in this vitamin within the body as a whole

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People who've had gastric or bariatric surgery, or who have an ileostomy, are commonly unable to absorb enough vitamin B12 from their diet or a supplement so are likely to need injections via their GP

A separate Vitamin D3 (in addition to calcium/Vitamin D combined supplement) 20,000IU once each week (or 2,000-4,000IU daily) Vitamin D helps regulate the amount of calcium and phosphate in the body