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I will cover: What vitamin B12 actually does in the body Why do different bariatric procedures cause B12 deficiency in different ways How common the deficiency is, and why it is often missed The connection between B12, homocysteine, and clotting risk How I test for deficiency and what the results mean My two-tier supplement framework and where vitamin B12 fits The different supplementation options and when I use each When I delay surgery for B12 deficiency How vitamin B12 is managed through the perioperative period This article is part of my broader approach to vitamins and supplements before and after abdominoplasty (tummy tuck), which covers the full protocol across every nutrient I treat

Guidelines for the diagnosis and treatment of cobalamin and folate disorders

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When You Might Need Higher B12 Doses While the standard RNI of 1.5 mcg per day suffices for most healthy adults, certain medical conditions, dietary patterns, and medications can substantially increase B12 requirements or impair absorption, necessitating higher therapeutic doses under medical supervision

This will help your provider determine whether tirzepatide with vitamin B12 is medically appropriate for you