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There are other alternative forms for B-12 administration which includes monthly intramuscular injection, sublingual (under the tongue) liquids or sprays, or nasal spray which more adequately enable absorption. (Source) The current ASMBS recommendations for VSG (which are summarized here) list a B-complex vitamin (which includes B-12) as optional but doesnt elaborate on how it should be taken

doi: 10.1093/ije/dyz063

While the clinical trials demonstrated excellent safety in generally healthy obese adults, individual medical histories may reveal concerns not apparent in trial populations

Ascletis announces fixed-dose combination of ASC30, once-daily oral small molecule GLP-1R agonist, and ASC39, once-daily oral small molecule amylin-selective amylin receptor agonist, for clinical development

Ruoslahti, Sanford-Burnham Medical Research Institute, and were provided to us for this study