The researchers compared the three primary B12 delivery methods and found the following mean increases in serum B12 levels: A p-value of 0.270 means there is no statistically meaningful difference between the three methods
When travelling, consider using an insulated medication travel case with cooling elements to maintain appropriate temperatures, particularly during summer months or when visiting warmer climates
For safe administration, rotate injection sites between areas like the abdomen, thighs, or arms and avoid injecting in the same body region for two consecutive doses
Your healthcare team may also prescribe medications to lower your blood pressure (like ACE inhibitors or ARBs), which can help slow the progression of CKD

Dissatisfaction with excess skin is common and can affect self-confidence Transfer addiction, where a previous reliance on food shifts to alcohol, shopping, or other behaviours, affects around 4% of post-bariatric patients 14 The emotional relationship with food often needs addressing alongside physical changes from surgery and medication Getting support Speak to your GP or bariatric team if youre experiencing persistent low mood, anxiety, or difficulty coping with weight regain Cognitive behavioural therapy (CBT) has evidence for managing both depression and disordered eating after bariatric surgery Regular physical activity has consistent evidence for improving mood and reducing symptoms of depression Peer support groups for people whove had bariatric surgery can help reduce feelings of isolation If you notice changes in your relationship with alcohol or other substances after surgery, raise this with your GP If youre starting Wegovy after a period of weight regain, be aware that renewed weight loss can bring up complex emotions about your surgical experience Oral vs injectable semaglutide after a sleeve Semaglutide comes in two forms: an injectable version (Wegovy for weight management, Ozempic for type 2 diabetes) and an oral tablet (Rybelsus for type 2 diabetes)
