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PubMed record Kovalzon VM, Strekalova TV

Concerns about B12 status in weight loss medication users stem primarily from experience with metformin and certain bariatric surgical procedures

This most often entails Abs of the IgG1 and IgG3 subclasses, which are both potent in activating the immune system through activation of the complement cascade and eventual formation of the membrane attack complex [137, 145], targeting the acetylcholine receptor (AChR)