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Most people having B12 injections (intramuscular) will see an improvement in the first 24 hours, but the hematological response, including the quick production of new red blood cells, may take several days to months for a full response
In a study of 10 healthy male volunteers, omeprazole, in doses of 20 mg-40 mg per day, caused a significant decrease in the oral absorption of methylcobalamin, vitamin B12
Following gastric sleeve surgery, BOMSS guidelines recommend routine nutritional blood monitoring at regular intervals typically at three months, six months, and twelve months post-operatively, and then annually thereafter as a minimum
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