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(PubMed) Wahbeh F, Manyama M

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Similarly, bariatric procedures such as Roux-en-Y gastric bypass alter the anatomy and mixing of digestive contents, leading to impaired B12 absorption and necessitating lifelong B12 supplementation according to American Society for Metabolic and Bariatric Surgery guidelines

These drugs are used to control severe symptoms or when a patient cannot stop taking steroids

Blood transcobalamin levels in malignant hepatoma