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Patient education: Explain that B12 shots usually relieve symptoms gradually – it may take weeks to feel better

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Any issue that can affect the stomach, pancreas or the last 3-4 cm of the small bowel (called the terminal ileum): Stomach: gastrectomy, gastric bypass Pancreas: chronic pancreatitis, removal of the pancreas Terminal ileum: Crohn’s disease, coeliac disease (an allergy to gluten requiring a very strict gluten-free diet), removal of terminal ileum, ileostomy, radiotherapy to the pelvis (e.g