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Supplement Facts

Forms Available Oral B12 comes in several forms, including: Tablets Capsules Lozenges Sublingual drops (placed under the tongue) Pros of Oral Supplements Widely Available: You don't need a prescription to purchase them

Patients who have undergone gastric banding should be aware of the following signs that may indicate falling B12 levels and warrant prompt blood testing: Neurological symptoms: Tingling, numbness, or 'pins and needles' in the hands or feet Difficulty with balance or coordination Memory problems, difficulty concentrating, or 'brain fog' Mood changes, including low mood or irritability Haematological symptoms: Persistent fatigue or weakness disproportionate to activity levels Breathlessness on mild exertion Pallor or a slightly yellowish tinge to the skin Other indicators: A sore, smooth, or inflamed tongue (glossitis) Mouth ulcers occurring frequently It is important to recognise that some of these symptoms particularly fatigue and low mood are non-specific and may overlap with other post-operative nutritional deficiencies, such as iron or vitamin D deficiency

Excess skin will be removed, and the remaining skin sutured in a position to tighten the skin for a more youthful appearance

Patients who are CYP2C19 poor metabolizers (more common in Asian populations: approximately 1520%) have significantly higher and more prolonged plasma Esomeprazole levels due to reduced hepatic metabolism

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