Your doctor may suspect that you have vitamin B 12 deficiency based on your medical history and symptoms
People Who Have Had Gastric Surgery Gastric bypass surgery (like Roux-en-Y), sleeve gastrectomy, or other bariatric procedures significantly reduce the stomachs ability to produce intrinsic factor a protein required to absorb B12 in the small intestine
They are promoted for youth repair, anti-aging, improved cognitive health and energy, even though there are no adequate data to support such claims in people
This chart may be useful as an overview: What Are The Symptoms of Vitamin B12 Deficiency
Certificate of Analysis (COA)
[2] [1] For patients with neurological symptoms , hydroxocobalamin 1 mg is given intramuscularly on alternate days until no further improvement occurs, followed by maintenance injections every two months for life