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Patients should contact their GP if they experience: Persistent fatigue, weakness, or lethargy that affects daily activities Neurological symptoms including numbness, tingling, or 'pins and needles' in hands and feet Memory problems, confusion, or difficulty concentrating Mood changes, depression, or irritability Glossitis (sore, red tongue) or mouth ulcers Pale or jaundiced skin Unexplained balance problems or difficulty walking Individuals at higher risk should consider proactive screening , including those following vegan or strict vegetarian diets, adults over 60 years, people with gastrointestinal conditions (pernicious anaemia, Crohn's disease, coeliac disease, or previous gastric surgery), and those taking medications that affect B12 absorption such as metformin, proton pump inhibitors, or H2-receptor antagonists

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Treatment Options for Bariatric Patients with B12 Deficiency Although supplementing is mandatory for gastric bypass surgery patients, and it can also be for other bariatric surgery patients, it is critical to attend to regular check-ups with a bariatric doctor to determine the right treatment plan for you

There is a scarcity of research on the effects of oral supplementation of Vitamin B12 during lactation, however the recommended dietary amount of Vitamin B12 for lactating women is 2.8 mcg

[DOI] [PMC free article] [PubMed] [Google Scholar] 87.Martinez D.L., Tsuchiya Y., Gout I