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WR was defined as 10% gain from nadir plus 19 years and those who underwent LSG with antral preservation [the first staple firing started more than 2 cm from the pyloric ring], alternative bariatric procedures, such as Roux-en-Y gastric bypass (RYGB) or laparoscopic adjustable gastric banding (LAGB) during the study period

Its also been speculated that oral methylcobalamin or injected hydroxycobalamin may be preferable in smokers, but that hasnt been conrmed