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And if you just say like, Oh, this person has flexion intolerant back pain without a system to evaluate them, you could, to Lisas point, give them literally something thats going to make them worse

For B12 specifically, this means: Your GP becomes the point of contact for ongoing vitamin B12 supplementation Follow-up blood testing (including B12) is arranged by your GP, usually at around six to eight weeks post-op For post-bariatric patients, vitamin B12 supplementation is a lifelong consideration

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But because most people do not have kidney issues, this usually isnt something you need to worry about (if you have kidney problems you will know it!)