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IM injections bypass digestion, giving your body a dependable supply of B12

However, there is some literature suggesting that vitamin B6 deficiency may be correlated with neuropathy when comorbid with other conditions, such as diabetes or concurrent vitamin B12 deficiency [8, 9]

Without a concurrent reduction in caloric intake, increased circulating free fatty acids from enhanced lipolysis may simply be re-esterified and stored elsewhere

Monitor Treatment : Evaluate the effectiveness of vitamin B12 supplementation or treatment for conditions causing deficiency

This is also why initial vitamin B12 levels at the time of bariatric surgery are a predictor of future deficiency