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Failing to consume adequate amounts of protein after bariatric surgery can lead to poor muscle health, leaving patients at risk of not being able to maintain appropriate amounts of muscle

Some individuals especially those sensitive to changes in methylation activity describe feeling overstimulated or jittery with high-dose methyl B12

Consider periodic monitoring of B12 in patients on metformin with risk factors for B12 deficiency Risk factors are quite wide-ranging and include the following (MHRA, 2022): Baseline vitamin B12 levels at the lower end of the normal range

Arsenic, lead, uranium, copper, mercury, cadmium, chromium, aluminum, antimony, barium, beryllium, nickel, selenium, thallium, zinc, silver, iron, manganese, calcium, magnesium, sodium, potassium, strontium, pH, total hardness, alkalinity, total dissolved solids, turbidity, conductivity, langelier saturation index, chloride, fluoride, nitrate as N, nitrite as N, sulfate, boron, phosphorus, silica, total coliform bacteria, and E

Pyridoxine neuropathy Postulated reasons for Vitamin B6 induced neuropathy involve the saturation of enzymes causing an accumulation of free pyridoxine, which leads to neurotoxicity