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For example, after a total gastrectomy, we recommend that patients get B12 supplementation often in the form of B12 injections for the rest of their lives

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Correcting B12 deficiency typically improves skin tone and color as red blood cell production normalizes and oxygenation improves

A vegetarian diet which contains no animal products (including milk products or eggs) does not supply any vitamin B12

This is often measured through alcohol breath tests, blood tests, and alcohol urine tests