Bariatric Advantage B12 SpeedyMelt®s are fast melting delicious tablets that deliver 1,000 mcg of high-quality vitamin B12 and 200 mcg folic acid for collaborative nutritional support. Bariatric surgery can increase the risk for Vitamin B12 deficiency, which has been reported in patients of all bariatric procedure types.1 Excess weightis also a risk factor for vitamin B12 deficiency.2 Patients of certain bariatric procedure types may have limited intrinsic factor,3 a substance produced in the lower part of the stomach, which is needed to absorb vitamin B12. Additionally,certain medications that many patients take before and after surgery can decrease vitamin B12 absorption and stores in the body. ASMBS guidelines call for 1,000 mcg ofvitamin B12per day for Gastric Bypass (RYGB/RNY) and Vertical Sleeve Gastrectomy (VSG/SG) patients.4 Vitamin B12 is a cofactor in essential physiological reactions, and plays a very role for important nerves, brain, heart, blood cell production, and DNA, Adequate B12 helps maintain energy metabolism.* Andres E, et al. Vitamin B12 deficiency in elderly patients. CMAJ. 2004:171;251-9. Baltaci D, et al. Association of vitamin B12 with obesity, overweight, insulin resistance, and metabolic syndrome, and body fat composition; primary care-based study. Med Glas (Zenica). 2013 Aug;10(2):203-10. Hamad, Giselle G. et al. "The Effect of Gastric Bypass on the Pharmacokinetics of Serotonin Reuptake Inhibitors." Am Journ Psychiatry 169.3 (2012): 256–263. PMC. Web. 27 Feb. 2017. Mechanick, Jeffrey I. et al. Clinical Practice Guidelines for the Perioperative Nutritional, Metabolic, and Nonsurgical Support of the Bariatric Surgery Patient—2013 Update: Cosponsored by American Association of Clinical Endocrinologists, The Obesity Society, and American Society for Metabolic & Bariatric Surgery.

If you have had gastric surgery and experience persistent nausea, vomiting, diarrhea, or other symptoms, contact your healthcare practitioner. Keep out of reach of children.