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Individuals who have undergone Bariatric Surgery: Procedures such as gastric bypass surgery can affect the bodys ability to absorb nutrients, including vitamin B12

Previous work has reported relatively increased Firmicutes and Proteobacteria and decreased Bacteroidetes in mice on an HFD, regardless of concomitant obesity (weight gain was minimized using a RELM knockout mouse 78 ) 78,79

2 Metformin (an antidiabetic drug) and nitric oxide have also been shown to decrease B12

In your case, however, this might be a good thing

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