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Description
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Patients are encouraged to maintain open communication with their GP, bariatric nurse, and dietitian, and to attend follow-up appointments consistently

Tracking and adjustment Monthly progress assessment helps identify whether your protocol is working and guides adjustments
Note: if using a 3ml/cc mixing syringe steps 2 - 6 will need to be completed several times to transfer all the fluid into the powder

Physical changes like pale skin or a sore tongue, and digestive issues such as loss of appetite or constipation, may also be signs your body needs more B12
