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Treatment Options for Bariatric Patients with B12 Deficiency Although supplementing is mandatory for gastric bypass surgery patients, and it can also be for other bariatric surgery patients, it is critical to attend to regular check-ups with a bariatric doctor to determine the right treatment plan for you

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It is important to differentiate whether this muscle discomfort is directly related to tirzepatide or due to other factors such as changes in physical activity, nutritional status, or underlying conditions

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However, a study 21 pointed out that vitamin D supplementation with oral multivitamin preparations is also feasible, considering that ordinary vitamin D has more targets of action than active vitamin D, has a good safety profile, is clinically monitorable, and can be a preferred option for vitamin D supplementation

The remaining un-methylated folate is recycled back into the folate cycle as THF