Patients who have undergone gastric banding should be aware of the following signs that may indicate falling B12 levels and warrant prompt blood testing: Neurological symptoms: Tingling, numbness, or 'pins and needles' in the hands or feet Difficulty with balance or coordination Memory problems, difficulty concentrating, or 'brain fog' Mood changes, including low mood or irritability Haematological symptoms: Persistent fatigue or weakness disproportionate to activity levels Breathlessness on mild exertion Pallor or a slightly yellowish tinge to the skin Other indicators: A sore, smooth, or inflamed tongue (glossitis) Mouth ulcers occurring frequently It is important to recognise that some of these symptoms particularly fatigue and low mood are non-specific and may overlap with other post-operative nutritional deficiencies, such as iron or vitamin D deficiency
doi: 10.1073/pnas.1915309116 193 SathiyamoorthyK.HuY
Plenty NL, Faulkner JL, Cotton J, Spencer SK, Wallace K, LaMarca B, et al
Fever, usually less than 104 degrees and lasting less than 3 days
This powerful antioxidant works synergistically with popular dark spot fighters like Vitamin C, liquorice, or azelaic acid
