The peptide should be administered on an empty stomach when possible, as food intake may affect absorption and blunt the acute lipolytic effects
Patients with pernicious anemia should be informed that they will require monthly injections of vitamin B12 for the remainder of their lives
Some common signs of B12 deficiency include fatigue, weakness, pale skin, shortness of breath, dizziness, tingling or numbness in the hands and feet, difficulty walking, memory problems, and mood changes
Enteral vitamin B12 supplements reverse postgastrectomy B12 deficiency
For more information regarding homocysteine and CVD, see the article on folate
Small intestine conditions such as celiac disease, Crohns disease, parasite or bacterial growth