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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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If youre not taking supplements, your clinician may look for other explanations before recommending any change

In the form of 5-deoxyadenosylcobalamin, it serves as a cofactor for the enzyme methylmalonyl CoA mutase (EC 5.4.99.2), which catalyzes the mitochondrial conversion of methylmalonyl CoA to succinyl CoA as an intermediate step in the oxidation of odd-chain FAs and the catabolism of ketogenic amino acids