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The British Obesity and Metabolic society recommend intramuscular injection of vitamin B 12 should be taken every three weeks in RYGB and BPD/DS patients, since the deficiency of B 12 still exists in the presence of higher doses of the oral supplement [120]

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Kane JPM, Surendranathan A, Bentley A, Thomas AJ, et al

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Higher total dose means more drug to clear, so numbness can last longer

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