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10.1136/bmj.315.7109.629 21 FieldE

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Fortified foods provide some B12: Fortified plant-based milk alternatives (soya, almond, oat) typically provide 0.41 microgram per serving Fortified breakfast cereals may contain 25100% of the reference intake per serving Fortified nutritional yeast provides variable amounts depending on the brand Fortified meat alternatives and plant-based products increasingly include added B12 The NHS advises that vegans should take a B12 supplement during pregnancy, as fortified foods may not reliably meet increased needs

Long-Term Monitoring and Blood Tests After Bariatric Surgery BOMSS recommends blood tests at 3, 6, and 12 months post-surgery and annually thereafter, covering a comprehensive panel including B12, ferritin, vitamin D, zinc, selenium, and bone health assessment where indicated

If you ever experience these, seek emergency medical care