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Bariatric surgery patients have permanent malabsorption issues

The NHS Inform Scotland guidance and the Vegan Societys recommendation align: a 10-microgram daily B12 supplement, or a 2,000-microgram weekly supplement, is enough for the vast majority of plant-based eaters

Testing before supplementing The most logical approach involves testing b12 status before adding supplementation

Its role in improving metabolic processes supports better regulation of blood sugar levels and cholesterol, further enhancing its appeal as a long-term health solution

It is suggested that elderly individuals take a B12 supplement of 2.8 micrograms daily to prevent B12 deficiency

A 67 year old female is on the following medications: Aspirin 81 mg daily Lisinopril 5 mg daily Carafate 1 gm four times daily Omeprazole 40 mg daily Metformin 1000 mg twice daily Actos 15 mg daily Paroxetine 20 mg daily Valproic acid 250 mg twice daily Percocet 5/325 mg four times daily as needed Senna 2 tablets at bedtime B12 injection q month Amlodipine 5 mg daily Tylenol 1,000 mg three times daily The first thing that caught my eye was that this patient apparently has or had B12 deficiency with the monthly supplementation