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People taking heartburn medication, such as proton pump inhibitors, are at a higher risk for B12 deficiency and may benefit from alternative therapies to control/eliminate the heartburn or have regular Nutrient IV therapies and/or Vitamin B12 injections Elderly Vegans Vegetarians People with tapeworms Alcoholics Excessive use of antibiotics Excessive use of anti-convulsant medication Daily consumption of Aspirin may increase the risk for vitamin B12 deficiency

PMID 28843240

Avoid strenuous activities and exercises focusing on the chest for at least 6 weeks, and limit sun exposure to prevent darkening of incisions

This may be for a couple of months at a time or until you attain your desired weight loss goal