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Regarding plasma B12 - this is not the case, serum B12 often remains highly elevated (well over the normal range) even while symptoms return - this is why testing B12 once treatment begins is not recommended

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As an essential vitamin that supports the health of your nerve cells and is vital for DNA synthesis and red blood cell production, B12 can be a game-changer, especially for those who do not get enough from their diet or have absorption issues

Chon, S.-H., Zhou, Y

Piazza explains further why he recommends using these three supplements to all his surgical patients: Post-Surgery Supplement Protocol When to Resume Taking Supplements After Surgery While its important to follow your surgeons instructions on the day of your procedure, it's perfectly fine to pause these supplements for the day of surgery