B12 plays an important role in the recycling of N5-methyl THF (the storage form of folate) to THF, the form of folate that serves as a coenzyme for numerous metabolic reactions involving amino acids and nucleic acids
Nascobal (Cyanocobalamin, USP) Nasal Spray 500 mcg/spray 0.125 mL [Label]
Bypass surgery itself removes areas that produce necessary co-factors for absorption, which is compounded by faster gut transit time, which lessens what can be extracted from the digestive process
Because when you cant absorb B12 through the stomach, shots are simply the only reliable solution to avoid the neurological symptoms of B12 deficiency, and to keep living a normal life
Frequency depends on your wellness goals, diet, and provider guidance
Arch Pathol Lab Med 125:824827 PMID: 11371242 Smith RM, Monty KJ (1959) Vitamin B12 and propionate metabolism