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Vitamin B12 and bariatric surgery After gastric bypass and sleeve gastrectomy surgery, absorption of vitamin B12 from food and oral supplements is compromised as the substance produced by the stomach which helps you to absorb the vitamin B12 is significantly reduced or even totally absent

Some patients and practitioners opt for a combination approach: compounded tirzepatide with glycine and B12 in the injection, plus oral niacinamide supplementation separately

These are well-tolerated and used to correct deficiencies and support overall wellness

The recommended dato-DXd dose is 6 mg/kg, with a maximum of 540 mg for patients with a weight of 90 kg or greater