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Description
This phenomenon is predominantly caused by cobalamin release during hepatic cytolysis and/or decreased cobalamin clearance by the affected liver
With the help of a medical team and a good nutrient plan, gastric bypass patients can keep their nutrient levels right and enjoy the benefits of losing weight

This may lead to a profound rapid drop in blood pressure, with collapse and even death
Some practitioners employ intermediate dose increases, such as escalating by 0.25 mg increments rather than doubling doses, to improve tolerance in sensitive patients