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For B12 specifically, this means: Your GP becomes the point of contact for ongoing vitamin B12 supplementation Follow-up blood testing (including B12) is arranged by your GP, usually at around six to eight weeks post-op For post-bariatric patients, vitamin B12 supplementation is a lifelong consideration

And if you just say like, Oh, this person has flexion intolerant back pain without a system to evaluate them, you could, to Lisas point, give them literally something thats going to make them worse

But because most people do not have kidney issues, this usually isnt something you need to worry about (if you have kidney problems you will know it!)