PMID 17474166
With appropriate oral B12 dosage, many individuals can successfully restore and maintain healthy levels without injections
During gastric bypass, the duodenum is entirely bypassed, as well as the distal stomach and proximal jejunum, contributing to potential vitamin and mineral deficiencies
Constipation is less dose-dependent and can persist, making it a more durable reason for discontinuation in patient reports. Sulfur burps reflect food sitting longer in a slowed stomach. Fatigue ranks second only to nausea in patient forums, although much of it tracks the calorie deficit rather than tirzepatide itself. Fried or fatty foods, coffee, meat, and alcohol can also become less appealing
Vitamin B12 is an essential vitamin for adrenal balance and maintaining a healthy nervous system
A drawer, cabinet shelf, or the original product box all work