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Together, these will help form a diagnosis

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In addition, when cyanocobalamin is metabolized it will form cyanide which must be eliminated by the body

Not too long after I turned 60 I noticed I was starting to feel weak and tired, had a hard time sleeping, had headaches all the time, low appetite (which is unusual for me as Ive always had a strong appetite), have heart palpitations, felt light-headed at times, and just seem to have lost my zest to go out and do things

It is worth noting that, unlike gastric bypass surgery, sleeve gastrectomy does not involve rerouting the intestine, so malabsorption is generally less severe