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Thats also the stance of many medical and scientific experts who have weighed in ahead of the meeting

So, why B12 shots

Standard reconstitution math: if you have a 5 mg (5000 mcg) vial and add 2.5 mL bacteriostatic water, each 0.25 mL (25 unit insulin syringe mark) contains 500 mcg

Some patients need two to three months of nutritional preparation before we proceed Continued Tier 1 and targeted Tier 2 supplementation through the perioperative window Handover to your GP at around four weeks post-op for long-term monitoring, including ongoing B12 supplementation for post-bariatric patients This pathway is designed so that nothing is rushed

I really think that the ampoules start to lose their potency , not immediately after the expiry date , but fairly soon

And you want to continue to keep them at top level function