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Description

Keep a symptom log noting timing, food, and dose to share with your clinician

On the right, the diagram is labelled Ulcerative Colitis

In fact, there is a metabolic reason that gastric bypass and, to some extent, duodenal switch patients experience B12 deficiency

If neurological symptoms are present, injections may continue on alternate days until no further improvement, followed by maintenance injections every 2-3 months for life Oral B12 supplementation : High-dose oral cyanocobalamin (10002000 micrograms daily) may be effective for dietary deficiency without malabsorption