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Some B12 supplements may also include aluminum, which is more likely to build up in the body when someone has kidney disease

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Tangvoraphonkchai K, Davenport A

Supplement dose for vitamin B12 in post-WLS patients varies based on the route of administration: Orally by disintegrating tablet, sublingual (under the tongue), or liquid: 350500 mg daily Nasal spray as directed by manufacturer Parenteral (IM or SQ): 1000 mg monthly Post-WLS patients with B12 deficiency should take 1000 mg/d to achieve normal levels and then resume dosages recommended to maintain normal levels

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Zhang Y, Lin Y, Zhang J, Li L, Liu X, Wang T, et al