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The Guidelines are not intended as a substitute for the advice or professional judgment of a health care professional, nor are they intended to be the only approach to the management of clinical problem

When the anemia is severe and the red blood cell count is extremely low, blood transfusions may be necessary for the first couple of days until the vitamin B 12 injections begin working

The amount of B12 needed each day is small, and because many plant-based foods are fortified with high levels of B12, its entirely possible that you can get enough from your diet alone

Also see our Top Pick among multivitamins for people who have undergone bariatric surgery and our article about supplements to take or avoid after bariatric surgery