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Proton pump inhibitors (PPIs) and H2-receptor antagonists (H2RAs) are commonly prescribed after bariatric surgery and can impair the release of B12 from food proteins, reducing absorption of food-bound B12 over time

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To ensure sufficient intake of vitamin B12, older individuals are recommended to obtain it from supplements or fortified foods, such as ready-to-eat breakfast cereals

This means its a substance that stimulates the pituitary gland to release growth hormone (GH) and insulin-like growth factor 1 (IGF-1)