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Along with health complications associated with the surgery, like infections and bleeding, there are long-term risks such as bowel obstruction, low blood sugar, and malnutrition

Digestive issues such as Crohn's or celiac disease can lead to impaired absorption of nutrients in the gut which may result in the need for B12 supplementation

Can we at least say, might possibly create some sort of issue

Peptides do not threaten these goals

Journal of Visualized Experiments: JoVE 50303 (2013)

Ronis MJJ, Huang J, Crouch J, Mercado C, Irby D, Valentine CR, Lumpkin CL, Ingelman-sundberg M, Badger TM: Cytochrome P450 CYP 2E1 induction during chronic alcohol exposure occurs by a two-step mechanism associated with blood alcohol concentration in rats