At least you are now having the loading doses so hopefully you will soon have some signs of improvement

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often given as intramuscular injections (hydroxocobalamin) every three months following RYGB Folate and, in the early post-operative period or with persistent vomiting, thiamine (vitamin B1) Trace elements (zinc, copper, selenium, vitamins A, E, and K) as clinically indicated Patients should avoid NSAIDs (such as ibuprofen) following gastric bypass due to the risk of marginal ulceration
Conversely, METTL4 overexpression induced spontaneous mitochondrial dysfunction and HF
Results can be affected by the timing of the test, your diet, your supplements and medications and even the specific lab method that is used