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Key Takeaways Bariatric surgery significantly alters how well your body can absorb vitamin B12 Being deficient in vitamin B12 over an extended period can lead to irreversible damage Finding a supplement with a vitamin B12 dose that meets your needs after bariatric surgery is essential Vitamin B12 deficiency is common after bariatric surgery and, if not corrected, can cause serious complications to your red blood cell production, cognitive health, and nervous system