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Efficacy of oral compared with intramuscular vitamin B-12 supplementation after Roux-en-Y gastric bypass: A randomized controlled trial

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Patients with low-normal or borderline B12 (200400 pg/mL) may experience quicker symptom relief and fewer adverse effects than those with truly deficient levels, who may require supplemental or prescription-grade B12 dosing instead

Batch traceability: Full batch documentation, synthesis parameters, purification chromatograms, and QC release data must be maintained and available for institutional procurement compliance

However, because this product provides doses far above the daily nutritional requirements (for instance 100 mg of B vs an RDA of ~1.4 mg), its use in pregnancy must be carefully considered
