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Patients taking certain medications (e.g., chloramphenicol may reduce the effectiveness of B12 therapy) or with risk factors for B12 deficiency (metformin use, proton pump inhibitors, nitrous oxide exposure, vegan diet) should discuss these with their healthcare provider

People with obesity or those who are concerned about their weight can contact a doctor

This delayed presentation makes routine monitoring particularly important for all gastric banding patients, regardless of how well they feel in the short term

There is no upper limit for vitamin B1, and doses of up to 50 mg appear to be safe