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Instead: Talk to your GP or specialist about your symptoms Ask for support to manage skin side effects if they occur Take a holistic approach to skin health – think about your gut health, blood glucose, nutrient levels and skin microbiome alongside treatment As discussed in the case studies, if B12 injections caused a flare, it seemed to either settle on it’s own after a few weeks, or topical treatments were used to support the skin afterwards

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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