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This makes injections highly effective for pernicious anaemia and other malabsorption syndromes, including post-gastrectomy states, Crohn's disease affecting the terminal ileum, and certain medications that interfere with B12 uptake

Administration of low doses of leptin in humans after weight loss has been shown to reverse these counter-regulatory neuroendocrine responses and increase energy expenditure, thus maintaining the weight reduction [40,44]

Journal of molecular and cellular cardiology, 52(1), 4347

Painful diabetic neuropathy in Japanese diabetic patients is common but underrecognized

6 Things Every Bariatric Patient Must Know About Labs Fact 1 of 6 The complete bariatric lab panel CBC (anemia, infection), CMP (kidney, liver), HbA1c (diabetes control), lipid panel , vitamin D (25-OH) , B12 , folate , iron + ferritin , calcium , magnesium , zinc , copper , TSH , PTH

Additionally, I recommend taking a daily high-quality B-12 and or a good multi-vitamin or B complex supplement to ensure optimal B vitamin levels