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Rather than manipulating hormones, suppressing appetite, or artificially stimulating the nervous system, it works at the level of basic cellular energy production and storage

The incidence of this behaviour is increasing ..This appears to be due to a cost saving exercise and largely happens without any prior consultation with individual patients to discuss their needs

A post-RYGB patient with serum B12 below 100 pmol/L may need eight to twelve weeks of aggressive repletion, sometimes with intramuscular injections, before I am comfortable operating

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