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However, this does not rule out B12 supplementation

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Cyanocobalamin is the most stable and least expensive form of B12, widely used in oral supplements and injections

Even though a B12-rich diet is recommended in almost all of the cases, you must consider that a person who underwent gastric bypass surgeryor any other bariatric surgery in which the intestinal tract was modifiedis not be able to absorb this nutrient anymore, meaning vitamin B12 supplementation will be mandatory

To make these side effects less, doctors might change how they give the shot or where they give it

What does a B12 deficiency look like