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However, there are several issues with these values: Nutritional requirements are influenced by personal genetics [4]

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Following gastric sleeve surgery, BOMSS guidelines recommend routine nutritional blood monitoring at regular intervals typically at three months, six months, and twelve months post-operatively, and then annually thereafter as a minimum

However, the cyanocobalamin form of B12 does not occur in nature normally, but is a byproduct of the fact that other forms of B12 are avid binders of cyanide (-CN) which they pick up in the process of activated charcoal purification of the vitamin after it is made by bacteria in the commercial process