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When taken orally, B12 may not absorb efficientlybut an injection bypasses the digestive system and goes directly into the bloodstream, ensuring maximum effectiveness

Bariatric surgery can impact the bodys ability to absorb nutrients, so a high supplemental dose of vitamin B12 may be needed to maintain healthy levels.*

My recommendation for best results is to clean up your diet, exercise 3 days a week or take daily walks, drink plenty of water, and look into fiber, protein, and electrolyte supplements