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For Roux-en-Y gastric bypass patients, the ASMBS says, Vitamin B-12 is very poorly absorbed when swallowed as a pill

Low vitamin B12 is one of the most overlooked nutrient deficiencies in women and the symptoms often get dismissed as stress, burnout, or just being tired. But vitamin B12 plays a critical role in energy production, brain health, nerve function, and red blood cell formation

Mechanistically, its claimed effects track the biology of that TB4 motif: regulating actin dynamics, driving cell migration, and supporting new vessel growth and tissue repair

Vitamin B12 is an essential compound that we get from animal based food sources

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