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Review supplementation If elevated B12 results from excessive supplementation: Discontinue or reduce high-dose supplements unless medically indicated For patients receiving therapeutic B12 injections for confirmed deficiency, continue treatment as prescribedelevated levels are expected after replacement therapy and do not indicate toxicity Review with GP to ensure supplementation remains appropriate 3

Because gastric banding does not surgically remove or bypass the stomach or small intestine, the anatomical pathway for B12 absorption remains largely intact after LAGB

This decline contributes to thinner skin, reduced bone density, increased visceral fat, and slower recovery from injury (Rudman et al., N Engl J Med 1990)

[DOI] [PMC free article] [PubMed] [Google Scholar] 250.Ilan Y

Available from: Li W, Zhao J, Zhu LL, Peng YF

Always talk to a qualified healthcare professional about your own situation , especially before starting injections or any compounded products