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Conclusion … By collecting objective evidence of our use of vitamin B12 the differences between the medical care that we assumed we were providing and the care that we were actually providing we are made of this

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Routine blood tests form the cornerstone of post-operative monitoring and should typically include: Full blood count (FBC) — to detect anaemia Ferritin, serum iron, and transferrin saturation — to assess iron stores Vitamin B12 and folate levels 25-hydroxyvitamin D and parathyroid hormone (PTH) Calcium, phosphate, and magnesium Zinc and selenium (less frequently, but recommended in some protocols) Copper and ceruloplasmin — should be checked if anaemia, low white cell count (leucopenia), or unexplained neurological symptoms are not explained by iron, B12, or folate deficiency Liver function tests and lipid profile HbA1c — particularly relevant for patients with type 2 diabetes The frequency of testing is typically higher in the first year (every three to six months, per BOMSS schedules) and may reduce to annually once levels are stable