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Deficiency after gastric banding is therefore primarily related to: Reduced dietary intake and food tolerance , limiting consumption of B12-rich foods Use of acid-suppressing medicines (PPIs or H2RAs) , which can impair the release of B12 from food proteins and reduce absorption of food-bound B12 [4] Crystalline B12 the form found in supplements and fortified foods does not require acid or pepsin for release
Zhou F, Guo H, Hao Z (2007) Spatial distribution of heavy metals in Hong kongs marine sediments and their human impacts: a GIS-based chemometric approach
Nevertheless, several classes of metabolitesincluding amino acids, carnitine, and energy-related intermediatesare readily released into the bloodstream and have been reported as systemic indicators of lung fibrosis or injury in both experimental models and patients 13,52
Nonetheless, the absence of hepatic coma indicates a lack of severe liver dysfunction, differentiating it from more severe cases
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