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Short-term pharmacotherapy has not been shown to produce longer-term health benefits and cannot be generally recommended

Suzuki T, Ishii-Watabe A, Tada M, Kobayashi T, Kanayasu-Toyoda T, Kawanishi T, et al

[8] For these reasons, B12 deficiency is a commonly reported nutritional deficiency following gastric sleeve surgery , with studies and BOMSS guidance indicating that without appropriate supplementation, a significant proportion of patients will develop suboptimal B12 levels within one to two years post-operatively

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