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Bariatric patients are at heightened risk of nutritional complications, and magnesium monitoring should be considered before and periodically during prolonged PPI therapy, or where risk factors are present (such as concurrent use of digoxin or diuretics)
Taking too much folate or folic acid in supplement form may affect mental function, negatively impact the immune system, and mask a potentially severe vitamin B12 deficiency (18)
The standard research protocol is 300 mcg per day, subcutaneous, administered in a fasted state, typically in the morning before food or exercise
Intravenous vitamin therapy is a great tool to replenish micronutrients in the body to an optimal state
I mention to my doctor my Ferritin was way below normal at 22 ng/mL and she said well the rest of your blood RBC and Hemoglobin levels look fine so you don't have anemia and sent me out the door
Because of that, the NICE recommendations lean towards individualised care: tailoring the dose, frequency and delivery method, following people up at around three months, and reviewing sooner if symptoms are severe or if someone is pregnant or breastfeeding
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