Routine rechecking of serum B12 levels is not generally recommended for patients on regular injections as levels will be artificially high
Malignancies that occur frequently in LT recipients are skin cancers and posttransplant lymphoproliferative disease in addition to cervical, vulvar, and anal squamous cancers
Factors such as initial B12 levels, underlying medical conditions, certain medications, advanced age, and injection frequency can affect the absorption and utilization of B12, possibly shortening the duration of action
If your energy is off, other factors deserve equal attention iron status, sleep quality and duration, training load and recovery, testosterone levels, thyroid function, and how your GLP-1 protocol is affecting your overall nutrient intake