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Blood tests can confirm deficiency, but some clients choose B12 injections for general wellness or preventative support

Clin Neurophysiol Pract (2020) 5:508

[8] For these reasons, B12 deficiency is a commonly reported nutritional deficiency following gastric sleeve surgery , with studies and BOMSS guidance indicating that without appropriate supplementation, a significant proportion of patients will develop suboptimal B12 levels within one to two years post-operatively

Commercial plans, Medicare Advantage, and Medicaid products each maintain separate formulary guidelines for semaglutide and tirzepatide