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2021;10(9):R229-R239

However, observational studies suggest that whilst acute toxicity remains exceptionally rare, sustained very high levels of B12particularly from supplements or injectionsmay be associated with certain health concerns, though these are correlations rather than proven causal relationships

Established post-bariatric monitoring schedules recommend regular checks of full blood count, ferritin, vitamin B12, folate, vitamin D, calcium, and other micronutrients depending on the procedure

These alterations are characterized by an increase in the number of immature erythroid cells, including megaloblasts, along with cytoplasmic vacuolation, internuclear bridging, and multinucleated cells

If you are not able to have B12 injections, you may be suitable for treatment with B12 tablets or other forms of B12 supplements