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Hydroxocobalamin is the form of b12 in general use in the NHS

The mechanisms underlying this phenomenon likely involve disruption of the Th1/Th2/Th17 cytokine balance, suggesting that targeted therapies may inadvertently exacerbate type 1 inflammation, leading to vitiligo

Table of Contents Why Gastric Sleeve Surgery Increases the Risk of B12 Deficiency Recognising the Symptoms of B12 Deficiency After Bariatric Surgery How B12 Deficiency Is Diagnosed and Monitored on the NHS Recommended B12 Supplementation Following Gastric Sleeve Surgery Dietary Sources of B12 and Their Limitations After Surgery When to Seek Medical Advice and Long-Term Nutritional Follow-Up Scientific References Frequently Asked Questions Why Gastric Sleeve Surgery Increases the Risk of B12 Deficiency Sleeve gastrectomy removes up to 80% of the stomach, reducing parietal cells and intrinsic factor production, which impairs B12 absorption alongside reduced gastric acid secretion and lower dietary intake