Vitamin B12 Plus is a B vitamin that is commonly deficient among people who have had weight loss surgery or other abdominal surgeries. You are at higher risk if you follow a vegan or plant-based diet. Another high-risk group includes people over age 60 who have decreased absorption of vitamin B12 from food or pills. PatchAid B12 Energy Plus Vitamin Patch has a unique formula with B vitamins, including biotin and folic acid, and choline. It offers: No risk of a sugar crash. Caffeine-free energy support. A pain-free alternative to injections. A convenient alternative to high-dose pills. PatchAid vitamin patches are Latex, Lactose, Gluten, and Sugar-free Please Note: Nutritional patches are a new technology. As with any nutritional supplements, consumers should use nutrition patches according to their healthcare providers' recommendations and regularly monitor nutrient levels through lab work as they would when taking any dietary supplements.