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The liver contains approximately 5090% of the body's B12 stores, so hepatic injury can cause substantial elevation

About one-third of patients with poor pancreas function develop a B12 deficiency

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These are more common in post-bariatric patients than in non-bariatric patients, particularly with longer incisions such as a body lift (belt lipectomy), and vitamin B12 status is one of the nutritional factors I can influence to reduce (but not eliminate) this risk Deep vein thrombosis and pulmonary embolism are covered earlier in this article