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Those who undergo GI surgery, like removal of intestines or gastric bypass, may also have difficulty with B12 absorption (4, 5)

People with vitamin B12 deficiency are likely to experience a wide range of symptoms, though weight gain is unlikely one of them

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Your doctor may recommend earlier testing if you: Develop neurological symptoms Experience unexplained fatigue Have anemia Take high-dose metformin Have digestive disorders affecting absorption Have previously been diagnosed with vitamin B12 deficiency Rather than following a fixed calendar, clinicians usually individualize monitoring based on the patients overall health

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