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It enhances the process of nerve repair by increasing the production of growth factors and improving blood flow to the affected area

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

Lastly, choline has also been shown to specifically aid with memory, and to support the maintenance of a healthy nervous system.1314 Food sources of choline include peanuts, soybeans, wheat, chicken, fish, beef, cauliflower, eggs, and lettuce

The GH release it stimulates more closely mimics natural patterns