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I took B12 supplements for several years prior to being diagnosed with a very low level of B12, only 88

Frank deficiency (below 145 pmol/L): I start aggressive supplementation, often intramuscular for post-RYGB patients, and I will want repletion confirmed on a follow-up blood test before I am comfortable proceeding with surgery

GLP-1 Weight Loss & Plastic Surgery: The Restore SD Advantage Meaningful weight loss (even 20 to 40 pounds) can leave patients with loose skin on the abdomen, arms, and thighs, and changes in breast volume and shape

While oral supplements can be a way to replace B12, oral supplements dont always absorb in the digestive system

Always consult professional guidelines and regulatory bodies for specific compliance requirements.