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Where deficiency has already been confirmed , treatment options include: High-dose oral cyanocobalamin (1 mg daily) — effective in many gastric band patients, as the band does not impair intrinsic factor production and passive diffusion of B12 remains largely intact

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Fully recovered short bowel syndrome provided finally defined physiological adaptive enlargement, adapted-to-normal tissue ratios, muscle thickness with a fourfold increase, villus height and crypt depth with a twofold increase, and, later, a discrepant decrease of the inner (circular) muscular layer, with all intestinal wall layers accordingly adapted [155]