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The American Society for Metabolic and Bariatric Surgery recommends that patients who have had bariatric surgery take 1 mg of oral vitamin B 12 per day indefinitely

By increasing your vitamin b12 intake with injections, you will be able to properly develop your red blood cells, or hemoglobin, which will transport oxygen and nutrients effectively throughout the cells of your body to produce the energy that your body requires

Co-occurring deficiencies: you might also need support with iron, vitamin D, or folate

Severe liver dysfunction, as the liver plays a key role in metabolizing lipotropic compounds

Worse, doctors will often stop treatment altogether when blood levels seem okay

Your body naturally produces NAD+ using precursor nutrients like tryptophan, niacin (vitamin B3), and nicotinamide riboside (NR), found in food and supplements