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Frank deficiency (below 145 pmol/L): I start aggressive supplementation, often intramuscular for post-RYGB patients, and I will want repletion confirmed on a follow-up blood test before I am comfortable proceeding with surgery

#MindMattersPsychiatryWeightLoss #Psychiatry #HealthyLiving B12 deficiency: causes, symptoms, and treatment with injections Vitamin B12, or cobalamin, is a water-soluble vitamin essential for red blood cell production, nervous system health, DNA synthesis, and energy metabolism

While not required, a calorie deficit with adequate protein (0.7 to 1.0 grams per pound of goal weight) produces best results

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pregnant women often receive IV thiamine if needed (e.g., for hyperemesis) without issue

They are usually safe, but some people might have reactions