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NICE guidance (CG189: Obesity: identification, assessment and management) recommends that all patients undergoing bariatric surgery receive comprehensive pre- and post-operative nutritional support

Based on these results, the Frequency Model was selected as the optimal approach due to its superior accuracy (0.977), as shown in Table 2

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For those without an absorption problem, research suggests that high-dose oral B12 supplements can be as effective as injections in raising and maintaining B12 levels

The distributed cyanocobalamin in breast milk has been found to be compatible with breastfeeding by the American Academy of Pediatrics (19)

Advantages of Oral B12 Supplements Oral supplements have several advantages: Convenience: Easy to take at home without clinic visits Non-invasive: No needles or injections required Cost-effective: Generally less expensive than injections Variety: Multiple formulations allow personal preference and flexibility Suitable for mild deficiencies or preventive supplementation For many people without absorption problems, oral B12 supplements are sufficient to maintain healthy levels