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Homocysteine levels rise when enough Vitamin B12 antibodies are not present
While some formulations are designed to enhance oral absorption, they don't always fully overcome these inherent biological hurdles
However, recognising when symptoms warrant further assessment ensures safe, effective treatment
Who should check with a provider first If you are pregnant, nursing, have kidney disease, or take medications that interact with B12 metabolism (such as metformin), discuss this with a provider before starting
ASMBS B12 Recommendations for People after Bariatric Surgery The American Society for Metabolic and Bariatric Surgery has B12 recommendations for patients after bariatric surgery (Parrott, 2017): 350 to 500 g per day if taken orally
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