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Pyridoxine needs are elevated during pregnancy

9 This type of anaemia was the first condition to be linked to B 12 deficiency, and probably because of that, many doctors have the misconception that B 12 deficiency is ruled out in patients without anaemia

In addition to reducing intake of the vitamin itself, bariatric surgery may diminish the secretion of intrinsic factor in the stomach, which is normally produced and released in response to food intake (Marcuard et al., 1989)