I hadn't really noticed this problem, but Celebrate said that it was enough of an issue that theycreated a new quick-melt formulation of their sublingual B12 tablet for weight loss surgery post ops.
Why B12?
Individuals who have had gastrointestinal surgery are at higher risk of developing deficiency
National Institutes Of Health -Surgical procedures in the gastrointestinal tract, such as weight loss surgery or surgery to remove all or part of the stomach, often result in a loss of cells that secrete hydrochloric acid and intrinsic factor [5,39,40]. This reduces the amount of vitamin B12, particularly food-bound vitamin B12 [41], that the body releases and absorbs. Surgical removal of the distal ileum also can result in the inability to absorb vitamin B12. Individuals undergoing these surgical procedures should be monitored preoperatively and postoperatively for several nutrient deficiencies, including vitamin B12 deficiency [42].
Vitamin B12 Deficiency
Vitamin B12 deficiency is characterized by megaloblastic anemia, fatigue, weakness, constipation, loss of appetite, and weight loss [1,3,27]. Neurological changes, such as numbness and tingling in the hands and feet, can also occur [5,28]. Additional symptoms of vitamin B12 deficiency include difficulty maintaining balance, depression, confusion, dementia, poor memory, and soreness of the mouth or tongue [29]. The neurological symptoms of vitamin B12 deficiency can occur without anemia, so early diagnosis and intervention is important to avoid irreversible damage [6].
Typically, vitamin B12 deficiency is treated with vitamin B12 injections, since this method bypasses potential barriers to absorption. However, high doses of oral vitamin B12 may also be effective. The authors of a review of randomized controlled trials comparing oral with intramuscular vitamin B12 concluded that 2,000 mcg of oral vitamin B12 daily, followed by a decreased daily dose of 1,000 mcg and then 1,000 mcg weekly and finally, monthly might be as effective as intramuscular administration [24,25]. Overall, an individual patient’s ability to absorb vitamin B12 is the most important factor in determining whether vitamin B12 should be administered orally or via injection [8]. In most countries, the practice of using intramuscular vitamin B12 to treat vitamin B12 deficiency has remained unchanged [24].
From Celebrate -
Our new proprietary formula utilizes Quick-melt technology to provide you with a great tastingsublingual tablet that will dissolve in less than 1 minute.
Delivering 1000 mcg of vitamin B-12, this great tasting sublingual tablet will ensure that you are receiving proper levels of this critical vitamin. In addition, each tablet also contains 200 mcg of folic acid. Each bottle contains 90 sublingual tablets.
While the majority of patients that are taking our multivitamin will not need an additional sublingual, there will be a small percentage of patients that require higher levels. Since vitamin B-12 is water soluble, any excess will simply be excreted by your body. And with our new Quick-melt tablet, taking your B-12 has never been easier!
The tablets are larger than the average B12, and white, not red or pink like most.
The smell is a pleasant cherry, as opposed to what, an evil cherry?
You pop 'em under your tongue, and WHAM BAM THANK YOU, uh, ma'am, it totally disintegrates into a sweet punch of cherry, and that's it. Gone.
Quick melt THEY DO. In fact, if I miss, it quick melts on my tongue, which isn't awful, because they taste good, and I can take another. <shrug>
- Product - Celebrate Bariatric Supplements B-12 Supplement Quick-Melt
- Price - $15.95
- Via - Celebrate Bariatric Supplements
- Pros - Well, that was easy, in and done.
- Cons - Well, that was easy, I'm drooling. Melts very, very fast in my mouth. I wonder if the absorption is the same?
- Rating - Pouchworthy, MM
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