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The procedure removes up to 80% of the stomach, reducing the parietal cells responsible for producing intrinsic factor the protein essential for vitamin B12 absorption

Chimanlal Enterprises Exporter of Aristo Pharmaceuticals Products Mumbai INDIA) Remylin AX Tablet is a combination of six medicines: Methylcobalamin, Vitamin D3, Folic Acid, L-Arginine, Levo-carnitine and Acetylcysteine

Malabsorption of vitamin B12 resulting from structural or functional damage to the stomach, where intrinsic factor is secreted, or to the ileum, where intrinsic factor facilitates vitamin B12 absorption

Nutrient deficiencies can occur as a result of eating nutrient-poor foods or foods with less bioavailable (easily and readily absorbed and used) nutrients, following a calorie-restricted diet, having inflammation from infections or food sensitivities , taking certain medications , or having an imbalance of gut bacteria

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(More information) Vitamin B 12 deficiency is commonly associated with chronic stomach inflammation, which may contribute to an autoimmune vitamin B 12 malabsorption syndrome called pernicious anemia and to a food-bound vitamin B 12 malabsorption syndrome