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Monthly injections are well suited to maintenance, keeping already-healthy levels healthy, but they are often not enough during the correction phase for someone who is significantly deficient

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B12 does not stack: once your blood level is in the normal range, extra B12 is simply passed out in your urine rather than converted into more energy

A post-RYGB patient with serum B12 below 100 pmol/L may need eight to twelve weeks of aggressive repletion, sometimes with intramuscular injections, before I am comfortable operating

The doses in compounded combinations may not provide adequate amounts for someone with surgical absorption limitations

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