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There are other alternative forms for B-12 administration which includes monthly intramuscular injection, sublingual (under the tongue) liquids or sprays, or nasal spray which more adequately enable absorption. (Source) The current ASMBS recommendations for VSG (which are summarized here) list a B-complex vitamin (which includes B-12) as optional but doesnt elaborate on how it should be taken

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Recent work has increasingly emphasized the role of these integrative systemsincluding energy availability, microbiota-derived metabolites, and neuroendocrine stress responsesin modulating or even overriding hormonal effects [15,16,17,18,19], highlighting the need for a systems-level perspective

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Approach: His work emphasizes evidence-based microbiome science, long-term safety, and a systems-based understanding of how microbes influence human health