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A vitamin B12 injection is needed after gastric banding when oral supplementation has failed to correct a documented deficiency, serum B12 remains persistently low, the patient cannot adhere to daily oral tablets, or there are signs of neurological or haematological complications

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If you are currently using penile injections and arent seeing satisfying results, are experiencing an erection that lasts long past intercourse (known as priapism), or experiencing an erection lasting more than 4 hours, you should contact your doctor immediately as it may lead to large medical complications if left untreated

Allen RH, Stabler SP, Savage DG, and Lindenbaum J (1993)