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Gastric bypass and ileal resection surgeries : B12 deficiencies are common after these surgeries, in part because the procedures remove or bypass B12 absorption sites in the gut

But for those without a deficiency or a risk of deficiency, taking extra B12 beyond what the body needs does not create additional energy or health benefits. One thing King recommends to her patients: Request nutrient lab testing through your physician before starting a vitamin or mineral supplement

Providers utilize SR9009 for patients struggling with profound lethargy, insulin resistance, and dyslipidemia, helping them improve endurance and mobilize stubborn fat stores

Conversely, others choose morning administration to monitor for adverse effects during waking hours when they can implement management strategies