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Intrinsic factor is only made in the stomach and after a gastrectomy there is little to no more of it or gastric acid, and the active mechanism in the body where B12 is absorbed is either less available or not available at all depending on if the surgery was a total or a part of a gastrectomy

You may be advised on hydration, monitoring how you feel, and what to do if you notice any unexpected reaction

Omeprazole OMEP 40 MG Omeprazole OMEP 40 MG Product Summary Name: OMEP 40 mg Lyophilized Powder for Injection Active Ingredient: Omeprazole sodium (equivalent to 40 mg omeprazole base) Formulation: Sterile, white to off-white freeze-dried powder in a vial Indications Used intravenously in adults when oral administration is not feasible

Get bloodwork before starting