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There are other alternative forms for B-12 administration which includes monthly intramuscular injection, sublingual (under the tongue) liquids or sprays, or nasal spray which more adequately enable absorption. (Source) The current ASMBS recommendations for VSG (which are summarized here) list a B-complex vitamin (which includes B-12) as optional but doesnt elaborate on how it should be taken

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CD38 is implicated in the development and occurrence of these disease, and there is a link between the two diseases

If freezing is not available, refrigeration (28C) is acceptable for shorter durations

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