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doi: 10.1016/j.immuni.2020.06.022

Proton pump inhibitors (PPIs) and H2-receptor antagonists (H2RAs) are commonly prescribed after bariatric surgery and can impair the release of B12 from food proteins, reducing absorption of food-bound B12 over time

Training programs on PA submissions (even webinars for providers) can improve first-pass approval rates

Were not a faceless online provider or quick-fix program

Differences are mostly in incidence, not category

It is crucial never to take a double dose to make up for a missed one, as this can increase the risk of side effects such as nausea, vomiting, or low blood sugar