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Gastrointestinal disorders and surgeries Some GI-related conditions and surgeries may affect B12 absorption: Crohns disease: A chronic inflammatory disease, Crohns affects the small and large intestine particularly the distal ileum, which is where B12 is absorbed

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Regular monitoring includes: annual B12 levels, semi-annual kidney function tests (for B6 clearance), and periodic neurological assessments

Some areas will require more Thermage treatments than others to achieve the desired results

Regular injections can help maintain optimal B12 levels and enjoy sustained benefits

However, the body is generally very efficient at excreting excess B12 through urine without any issues