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Patients who transition from gastric banding to other bariatric procedures such as sleeve gastrectomy or Roux-en-Y gastric bypass should be aware that these carry a higher risk of B12 and other micronutrient deficiencies due to their malabsorptive components, and monitoring should be intensified accordingly

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This damage is permanent and irreversible, no amount of re-refrigeration will restore potency lost to heat denaturation

Keep a symptom journal to note improvements in energy, mood, sleep, or focus

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