do you need b12 injections after gastric sleeve Post & Pregnancy Vitamin B12: What You Need

2.2.2 Mechanisms linking increased Hcy levels to MetS Elevated Hcy levels exert inhibitory effects on the insulin signaling pathway, primarily by inducing IR through the cysteine-homocysteinylation of the pro-insulin receptor

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Do not skip any doses and finish the full course of treatment even if you feel better

Vitamins B12 and B6 and BCAAs are generally safe in high doses, and any excess is simply excreted