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Although gastric banding carries a lower risk of B12 deficiency than malabsorptive procedures such as Roux-en-Y bypass, reduced tolerance of B12-rich foods and the use of acid-suppressing medicines can still compromise nutritional status over time
Cell-culture studies describe molecular changes over hours to days
This pathway can absorb approximately 1.52 micrograms per meal , making it efficient for dietary B12 but limited for high-dose supplementation
It also modulates the Nitric Oxide (NO) system, providing a potent cytoprotective effect on the endothelium and gastrointestinal mucosal lining
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