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Its important for gastric bypass patients to talk to their doctors about the best way to get B12

Cyanocobalamin: Dosage, mechanism/onset of action, half-life

Intramuscular (IM) injections bypass the gastrointestinal tract entirely, making them particularly effective when oral absorption is unreliable or when a confirmed deficiency requires prompt correction

Since humans are not able to synthesize vitamins in B complex on their own and these vitamins are easily excreted from the body through urine, their regular intake is essential to maintain energy production, DNA/RNA synthesis/repair, genomic and non-genomic methylation as well as synthesis of numerous neurochemicals and signalling molecules

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