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However, Vitamin B12 is an essential vitamin and requirements are increased during pregnancy

Rarely, hypersensitivity reactions, including rash, itching, and anaphylaxis, may occur

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The supplementation in such trials typically used conventional forms, and the benefit was attributed to sufficiency rather than to a methylated formulation

Neuroscience 1997

So, patients need: Multivitamins and minerals to make up for less absorption Vitamin B12 injections because oral intake is low Iron and folate to prevent anemia Calcium and vitamin D for bone health Duodenal Switch Considerations The duodenal switch removes a lot of the stomach and changes the small intestines path