Patients who have undergone gastric banding should be aware of the following signs that may indicate falling B12 levels and warrant prompt blood testing: Neurological symptoms: Tingling, numbness, or 'pins and needles' in the hands or feet Difficulty with balance or coordination Memory problems, difficulty concentrating, or 'brain fog' Mood changes, including low mood or irritability Haematological symptoms: Persistent fatigue or weakness disproportionate to activity levels Breathlessness on mild exertion Pallor or a slightly yellowish tinge to the skin Other indicators: A sore, smooth, or inflamed tongue (glossitis) Mouth ulcers occurring frequently It is important to recognise that some of these symptoms particularly fatigue and low mood are non-specific and may overlap with other post-operative nutritional deficiencies, such as iron or vitamin D deficiency

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Last but not least, this popular formulation of B-vitamins can be administered through IV, IM, or SubQ injection
typical therapeutic doses are well below the toxic threshold and are considered safe
Patients should follow the dosing instructions provided by their healthcare professional or as indicated on the product label
Most clients begin with weekly injections, then adjust to a maintenance schedule under the guidance of our providers