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Also, after weight loss surgery, patients are on a very restricted diet and adjusting to a reduction in stomach capacity making it difficult to ingest all the nutritional supplements required

It is not classified as a controlled substance under UK law

Vitamin B12 (also known as cobalamin) is a water-soluble vitamin that plays an important role in metabolism, red blood cell formation, and nerve function

Management approaches include increasing fiber intake gradually (too much fiber at once worsens bloating), drinking at least 64 ounces of water daily, taking magnesium citrate (400-600mg at bedtime), and increasing physical activity

Most patients notice a clear energy lift by the next morning