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PMCID: PMC11050313.

Patients who have undergone gastric banding should be aware of the following signs that may indicate falling B12 levels and warrant prompt blood testing: Neurological symptoms: Tingling, numbness, or 'pins and needles' in the hands or feet Difficulty with balance or coordination Memory problems, difficulty concentrating, or 'brain fog' Mood changes, including low mood or irritability Haematological symptoms: Persistent fatigue or weakness disproportionate to activity levels Breathlessness on mild exertion Pallor or a slightly yellowish tinge to the skin Other indicators: A sore, smooth, or inflamed tongue (glossitis) Mouth ulcers occurring frequently It is important to recognise that some of these symptoms particularly fatigue and low mood are non-specific and may overlap with other post-operative nutritional deficiencies, such as iron or vitamin D deficiency

Most multivitamins that contain B12 have 5 to 25 mcg per dose, while supplements that contain only B12 usually have higher doses in the 500 to 3,000 mcg range

This optional anti-nausea medication can help with side effects

There is no research showing that taking well over the recommended daily or weekly amount of B12 can be unsafe or detrimental to your health, and an official upper tolerable intake level has yet to be established