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Neurological Disorders An early experienced symptom of vitamin deficiency after gastric bypass surgery is usually neurological related to inadequate absorption of vitamin B1 (thiamine)

In those patients, addressing the underlying metabolic dysfunction first, through dietary intervention, GLP-1 therapy if indicated, or NAD+ support for cellular energy metabolism, is the clinical priority

Cooke DW, Divall SA, Radovick S

We need more research in this area

Please note that iron deficiency can inappropriately lower your MCV and throw this marker off

It also helps to correct severe deficiencies very quickly (if the deficiency is not based on genetic abnormalities which may require a specific form(s) of B12)