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Adjunctive therapies on board may make the process smoother (especially if mild precipitated withdrawal occurs)

[2] [1] For patients with neurological symptoms , hydroxocobalamin 1 mg is given intramuscularly on alternate days until no further improvement occurs, followed by maintenance injections every two months for life

ASMBS B12 Recommendations for People after Bariatric Surgery The American Society for Metabolic and Bariatric Surgery has B12 recommendations for patients after bariatric surgery (Parrott, 2017): 350 to 500 g per day if taken orally

Its a sterile, non-pyrogenic solution that comes with 0.9% benzyl alcohol (9 mg/mL), acting as a bacteriostatic preservative