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Deficiency after gastric banding is therefore primarily related to: Reduced dietary intake and food tolerance , limiting consumption of B12-rich foods Use of acid-suppressing medicines (PPIs or H2RAs) , which can impair the release of B12 from food proteins and reduce absorption of food-bound B12 Crystalline B12 the form found in supplements and fortified foods does not require acid or pepsin for release

Our 10-day itinerary will transport you from the Pacific coast of Lima to the mystical heights of the Peruvian Andes, revealing the best-kept secrets of the legendary Inca Empire and the natural wonders that have made Peru one of Latin Americas most captivating destinations

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