Note that PA isn't caused by not eating foods that contain B12, but rather by your body's inability to absorb B12
People with Stubborn Visceral Fat: Those who carry weight around the midsection and find it difficult to lose, despite a healthy diet and regular exercise
Medical History: It is essential to share your complete medical history with your healthcare provider, including but not limited to: Pancreatitis or a history of pancreas problems
Why Some Patients Consider Vitamin B12 Injections Vitamin B12 injections are one option that may be discussed when a provider determines that injectable support is appropriate
Animal sources of the B vitamins include: Eggs Milk Yoghurt Turkey Chicken Red meat Liver Fish Beware Beer and Other Alcoholic Drinks Some would have you believe that beer contains B complex vitamins, but they are not bioavailable

Seek urgent medical attention contact your bariatric surgical team directly, call NHS 111, or go to A&E if you experience any of the following: Inability to keep fluids down for more than 24 hours Signs of dehydration (dizziness, dark urine, dry mouth) Severe or persistent abdominal pain Rapid heart rate, fever, or chest pain Vomiting blood or passing black, tarry stools Contact your bariatric dietitian or surgical team promptly (but not as an emergency) if you experience: Persistent nausea, vomiting, or difficulty swallowing may indicate a stricture or food intolerance Unexplained fatigue, hair loss, or poor wound healing potential signs of protein or micronutrient deficiency Rapid or stalled weight loss both extremes may indicate a nutritional imbalance Symptoms after eating sweating, palpitations, or diarrhoea following meals Difficulty meeting protein or fluid targets early intervention can prevent complications Emotional difficulties around food disordered eating patterns can emerge after surgery and require specialist psychological support Beyond clinical concerns, a dietitian can help you refine your macro targets as your weight and activity levels change, advise on reintroducing new foods, and support you in building sustainable, enjoyable eating habits for the long term
