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A typical plan involves: Loading Doses : For a severe deficiency, we may start with a series of "loading doses." This involves more frequent injections (e.g., every other day for two weeks) to quickly restore your body's nutrient levels and alleviate symptoms

Impaired tissue repair: Slower regeneration in skin, muscles, and organs

Additionally, diabetes-related emotional distress and depression symptom severity have been identified as risk factors for medication non-adherence in T2DM [136, 137]

Patients who transition from gastric banding to other bariatric procedures such as sleeve gastrectomy or Roux-en-Y gastric bypass should be aware that these carry a higher risk of B12 and other micronutrient deficiencies due to their malabsorptive components, and monitoring should be intensified accordingly