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The answer is simple: it depends on the patients reserves of the vitamin, and the type of diet they are on after the gastric bypass or any other bariatric surgery

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Vitamin B12 Essentials 2.1 Biochemical Roles and Neurological Importance Vitamin B12 (cobalamin) is indispensable for two biochemical pathways: Methionine Synthase : Converts homocysteine to methionine, fueling methylation reactions vital for DNA synthesis, neurotransmitter production (serotonin, dopamine), and myelin maintenance

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WHAT WE PRESCRIBE We prescribe vitamin injection kits for self injection