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At 12 months postoperatively, the postprandial PYY levels at 60 min were 74.75 (49.62109.38) pg/ml ( p = 0.008), and at 120 min, 99.6 (20.31158.78) pg/ml ( p = 0.011) [56]
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Most patients begin to notice results within two to four weeks, with the most significant changes appearing between weeks four and eight under a properly managed treatment plan
This method bypasses the digestive system, making it an excellent option for those who have difficulty absorbing B12 from food or supplements
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