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Systematic reviews and cohort studies on reproductive outcomes after bariatric surgery suggest that sustained weight loss is associated with improved ovulatory function, more regular menstrual cycles, improved fertility, and a reduced risk of endometrial hyperplasia a condition linked to prolonged oestrogen exposure in women with obesity

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Not recommended in children under 7 years

Studies in Amazonian children reported a vitamin B 12 deficiency prevalence of 4.2%, with a significantly higher rate of 13.6% in children under 24 months