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Have had a stomach or intestinal surgery, including weight loss surgery that removes part of the stomach or intestine (i.e., sleeve gastrectomy or gastric bypass)

Are postpartum and medically cleared for weight loss efforts with fatigue or nutritional depletion

The Global Response Assessment Questionnaire was utilized to evaluate the patients perception of the effectiveness of this therapy and all 12 patients responded with a score corresponding to significant improvement

Older adults are at a higher risk

Regular lab monitoring is critical to managing B12 levels effectively, especially for those with ongoing deficiencies