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Lucchini RE, Facchini F, Turato G, Saetta M, Caramori G, Ciaccia A, Maestrelli P, Springall DR, Polak JM, Fabbri L, Mapp CE

These guidelines also advise that hydroxocobalamin 1 mg IM every three months is the standard UK approach to B12 prophylaxis after sleeve gastrectomy and bypass

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Pale Skin and Shortness of Breath People with a B12 deficiency may develop pale skin due to a decrease in red blood cell production, which can also lead to feelings of shortness of breath

Though small amounts of alcohol are believed to be appetite stimulants, excessive amounts can stop you from following a healthy diet which leads to vitamin B12 deficiency