Patients who have undergone gastric banding should be aware of the following signs that may indicate falling B12 levels and warrant prompt blood testing: Neurological symptoms: Tingling, numbness, or 'pins and needles' in the hands or feet Difficulty with balance or coordination Memory problems, difficulty concentrating, or 'brain fog' Mood changes, including low mood or irritability Haematological symptoms: Persistent fatigue or weakness disproportionate to activity levels Breathlessness on mild exertion Pallor or a slightly yellowish tinge to the skin Other indicators: A sore, smooth, or inflamed tongue (glossitis) Mouth ulcers occurring frequently It is important to recognise that some of these symptoms particularly fatigue and low mood are non-specific and may overlap with other post-operative nutritional deficiencies, such as iron or vitamin D deficiency
None of the statements here or on any of the product labels have been evaluated by the US Food and Drug Administration
Adjust for a 1,500 mg kit (~15 doses) or 50 mg dose (~15 doses per 750 mg vial)
Reasonable approaches include: Regular blood work every 3-6 months checking metabolic markers, liver function, kidney function, and lipid profiles
Combining the two in a single research protocol gives dual-pathway coverage of the regenerative cascade angiogenesis + cell-migration which is closer to the in-vivo process than studying either pathway in isolation
