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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

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The factors which are to be considered for dose estimation by transdermal route are discussed in the literature and are in general as enumerated in table 1 Table 1: Factors for consideration for Transdermal Dose Calculation Thus, dose calculation requires thorough consideration of all above factors