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There is no supplement, food, or detox that lowers B12 levels directly

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

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I found this really intriguing because before I was diagnosed with PA and treated with B12 injections, I was heading down the path of gastroparesis

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References: Jastreboff AM, et al