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Do not wear jewelry or any type of scented oils or lotions

Up to 70% of patients who undergo gastrectomy may develop vitamin B12 deficiency 1224 months after surgery if not supplemented with the vitamin [72,73]

B12 can be given, orally, or through intramuscular injections

This mechanism enhances fat metabolism and supports body composition improvement without affecting blood glucose, insulin sensitivity, or IGF-1 levels like full-length growth hormone would