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Side effects and safety warnings Patients taking semaglutide report experiencing gastrointestinal-related side effects, including vomiting, nausea, diarrhea, constipation, headache, and fatigue

"Pernicious Anemia | NHLBI, NIH"

Deficiency after gastric banding is therefore primarily related to: Reduced dietary intake and food tolerance , limiting consumption of B12-rich foods Use of acid-suppressing medicines (PPIs or H2RAs) , which can impair the release of B12 from food proteins and reduce absorption of food-bound B12 Crystalline B12 the form found in supplements and fortified foods does not require acid or pepsin for release

Understanding that complete healing takes months helps set realistic expectations