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Patients leave our Doral consultation with a full kit (vials, bacteriostatic water for reconstitution, syringes, alcohol swabs, sharps container, and a written calendar) and are walked through the reconstitution and injection process live before they leave
Such vials are common because theyre cheap, but try to use single-use B12 ampules or tightly sealed B12 vials
The mechanism of gastric bypass surgery is to cause restriction by creating a smaller stomach pouch and then causing nutrient malabsorption by bypassing a portion of the stomach and small intestine
That resistance wont disappear on its own
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