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Let me be clear, attending this meeting was not an endorsement of VLA-15

Studies have shown that about 66% of patients demonstrate these micronutrient deficiencies after bariatric surgery, sleeve gastrectomy, and gastric bypass, which include vitamin B1 ( thiamin), vitamin B12, vitamin C, and zinc

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In many cases, switching from oral to intramuscular B12 circumvents absorption issues entirely, providing reliable therapeutic levels regardless of gastrointestinal factors or drug interactions

This is especially important for patients with absorption issues such as those with digestive conditions, low stomach acid (common with aging), or MTHFR gene variants who cannot adequately absorb B12 from food or oral supplements

Although PASC is invariably framed as viral sequelae, comparable syndromes have been documented following vaccination