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10.1016/S0092-8674(02)00825-5 Cell 131 RamseyA

Emerging trends in oral delivery of peptide and protein drugs

Vitamin B12 enables the release of energy by helping the body to absorb folic acid, improves energy levels and reduces fatigue, improves concentration, supports healthy hair, skin, and nails, supports bone health, promotes vision health, improves mood, regulates sleep patterns, may help prevent memory loss, improves metabolism and helps with weight loss, boost immune system, decreases blood homocysteine, and improves heart health

From here, the weight loss surgery patient is at a more reasonable level to begin losing weight without putting themselves at risk