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For a comprehensive review, see reference (98)

Summary: Vitamin B12 injections after gastric banding are indicated when oral supplementation fails to correct a documented deficiency, neurological symptoms are present, or the patient cannot adhere to daily oral regimens

Reference lists of included studies and relevant reviews were screened manually to identify additional eligible studies

Insider's takeaway The Institute of Medicine has not established a tolerable upper intake level of B12 because studies show no adverse health effects when taking excess levels of B12, either through food or supplements