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The adsorption of MGF in the external pores of MSNs resulted in an initial burst release followed by a cumulative release of 20% on day 3, 50% on day 12, and 70% after 30 d [229]

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Table of Contents Why Gastric Sleeve Surgery Increases the Risk of B12 Deficiency Recognising the Symptoms of B12 Deficiency After Bariatric Surgery How B12 Deficiency Is Diagnosed and Monitored on the NHS Recommended B12 Supplementation Following Gastric Sleeve Surgery Dietary Sources of B12 and Their Limitations After Surgery When to Seek Medical Advice and Long-Term Nutritional Follow-Up Scientific References Frequently Asked Questions Why Gastric Sleeve Surgery Increases the Risk of B12 Deficiency Sleeve gastrectomy removes up to 80% of the stomach, reducing parietal cells and intrinsic factor production, which impairs B12 absorption alongside reduced gastric acid secretion and lower dietary intake

Because Kwells tablets melt in the mouth, absorption into the bloodstream is very rapid and they can be taken up to 2030 minutes before re travelling or at the onset of sickness