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All authors read and approved the final version of the manuscript

Gastric bypass is a type of bariatric surgery that involves making a small pouch from the stomach and connecting the newly created pouch directly to the small intestine.[6] Gastric bypass is an option for individuals with extreme obesity or a body mass index (BMI) above 40.[6] The surgery is also available for individuals with a BMI between 35 and 39.9 who also have a serious weight-related health issue such as type 2 diabetes or high blood pressure

The risk-to-benefit ratio is excellent, the results are meaningful, and the compound is forgiving enough that minor dosing variations do not cause problems

Vitamin B12 deficiency is most common in people who have a disease or condition in which the body is unable to absorb vitamin B12 from ingested foods