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Nevertheless, in cases of severe deficiency with neurological sequelae, we suggest that IM B12 is used in the first instance to replenish body stores with the treatment regimen, including dosage and formulation, optimised to keep the patient free of symptoms and tailored to the metabolic response of not only plasma B12 levels, but also confirmatory testing of homocysteine, methionine, and methylmalonic acid levels

This includes reviewing your weight loss trajectory since surgery, assessing adherence to dietary and lifestyle recommendations, and evaluating for any anatomical or functional complications from the surgery

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Never assume that the milligram number on your prescription matches the unit number on your syringe