My wife has a B12 deficiency also. She gets injections once a month. Our PCP told us that some people just don't absorb B12 and didn't know why. She did ask if she ate red meat, according to her that is a good source of B12. My wife tried taking the supplement pills, bu they didn't work
My GI told me most people have a HH to some degree, but most never know it. I believe it is common practice to repair any HH, if present, when they do surgery for reflux. I am talking about the Nissen and similar surgeries.
Nissen 6/06 and 5/09
#3 on 8/24/11