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It typically presents as macrocytic megaloblastic anemia and neurological impairments, including sensory and motor disfunctions, predominantly in the lower extremities, ataxia, and in more advanced stages cognitive decline progressing to dementia, as well as psychiatric disturbances (Sanjay et al., 2022
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Gastric bypass patients are at risk for micronutrient deficiencies which lead to in the short term, leading to impaired healing from the surgery, and in the long term, major medical issues such as anemia, scurvy, beriberi, osteoporosis and other conditions
