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Individuals at higher risk include older adults with reduced stomach acid production, people with gastrointestinal conditions affecting absorption, strict vegans, and those taking medications like metformin or proton pump inhibitors

Wellbrock C, Arozarena I

Long-Term Nutritional Follow-Up After Gastric Banding BOMSS recommends specialist MDT follow-up for at least two years post-surgery with lifelong primary care monitoring thereafter, including annual blood tests covering B12, full blood count, ferritin, vitamin D, and folate

Noel, et al