Long-Term Nutritional Follow-Up After Gastric Banding BOMSS recommends specialist MDT follow-up for at least two years post-surgery with lifelong primary care monitoring thereafter, including annual blood tests covering B12, full blood count, ferritin, vitamin D, and folate
It helps: Repair the myelin sheath (the protective coating around nerves) Support neurotransmitter balance (like serotonin and dopamine) Reduce anxiety and sensory overload Improve sleep quality by regulating melatonin Its not a magic fix but it gives your system the building blocks it needs to restore itself
Adults should take 5.000g I/M or hydroxocobalamin intravenously once a day
Heres my game plan: Test for intrinsic factor antibodies if my doctor offers this Try high-dose sublingual B12 (5000mcg daily) for 8 weeks as a test If my B12 stays below 400 pg/mL, go straight to injections Calculate the cost difference to justify the investment The 10% Rule If youre absorbing less than 10% of your oral B12 (you can estimate this by comparing your supplement dose to your blood response), weekly shots often cost less than daily high-dose pills
This means you only take 1 shot a day still, and get your hCG + those other ingredients all in one
