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Constipation in B12 deficiency is primarily neurogenic, due to autonomic and enteric neuropathy causing slow gut motility • Constipation may precede anemia • Often improves after B12 replacement • Think of B12
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After midnight the night before the operation, you should not eat or drink anything except medications that your surgeon or anesthetist has told you are permissible to take with a sip of water the morning of surgery
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