Heres what we recommend for elderly patients: Start with 1000 mcg of vitamin B12 weekly for 4-6 weeks Then, give 1000 mcg every 1-3 months, depending on how theyre doing Keep an eye on their vitamin B12 levels, blood counts, and brain function A study in the Journal of Gerontology stressed the need for B12 in older adults
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Liu J, et al
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A healthcare professional can prescribe vitamin B12 intramuscular injections or nasal gel spray for people with a severe vitamin B12 deficiency
To understand why B12 status can be affected after gastric banding, it helps to appreciate the normal absorption pathway