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Intrinsic factor is only made in the stomach and after a gastrectomy there is little to no more of it or gastric acid, and the active mechanism in the body where B12 is absorbed is either less available or not available at all depending on if the surgery was a total or a part of a gastrectomy

If B12 blood levels and MMA are both high, a functional B12 deficiency could be preventing B12 being useful at cell/tissue level

Do Eye Vitamins Really Help?Most eye health vitamins and supplements are meant for those suffering from age-related macular degeneration (AMD)

Journal of Clinical Pharmacology, 55(12), 1459-1465

1 Shot: $40 -or- 6 Shots: $210 (Save $30) Proof of Low Vitamin D lab preferred at the time of appointment