Insert the needle with a smooth, decisive motion 90 degrees for IM, 45 degrees for SC
Some patients need two to three months of nutritional preparation before we proceed Continued Tier 1 and targeted Tier 2 supplementation through the perioperative window Handover to your GP at around four weeks post-op for long-term monitoring, including ongoing B12 supplementation for post-bariatric patients This pathway is designed so that nothing is rushed
Bone Health If your body lacks B12, your skeleton may suffer: in a study published in the Journal of Bone and Mineral Research (4), low B12 was linked with poor bone mineral density, suggesting a role for the vitamin in bone formation
While more studies are needed, one thing is clear: we now have a bigger toolbox for fighting obesity
Reviewing and stopping B12 injections You should review or stop B12 injections when a blood test shows your levels have normalised, when a dietary cause can be managed with tablets, or when your GP advises a change