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Description
Several large community studies indicate that, based on the measures of tHcy and MMA levels, the B12 inflection points fall between 200 and 500 pmol/L
Post-WLS screening is recommended for all patients who have undergone Roux-en-Y gastric bypass (RYGB), sleeve gastrectomy (SG), or Biliopancreatic diversion/duodenal switch BPD/DS
It means be careful and use a clinician, especially if you have IBD or take immune meds
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