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Some patients need two to three months of nutritional preparation before we proceed Continued Tier 1 and targeted Tier 2 supplementation through the perioperative window Handover to your GP at around four weeks post-op for long-term monitoring, including ongoing B12 supplementation for post-bariatric patients This pathway is designed so that nothing is rushed

Possible Adjustments Instead of Stopping: In some cases, your doctor may suggest reducing the dosage or switching to a different form of vitamin B12

Theoretical analysis suggests complementary mechanisms with potential insulin resistance concerns

NNMT is an enzyme that converts nicotinamide to N-methylnicotinamide, consuming methyl groups and potentially reducing NAD+ availability

I had 1-2 injections per week

Our experienced team customizes each plan based on your unique needs, providing the best possible care