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Bariatric surgery can increase the risk for Vitamin B 12 deficiency, which has been reported in patients of all bariatric procedure types

Testing rather than guessing provides the clearest guidance

[5] Pyridoxine (vitamin B) is converted to pyridoxal-5-phosphate, a coenzyme for over 100 enzymes in amino acid metabolism

Elderly patients may be more sensitive to the medications effects and may require slower titration or lower maintenance doses, particularly if they have reduced renal function or are at higher risk for dehydration from gastrointestinal adverse effects

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