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This happens because the surgery changes how the body absorbs nutrients, especially vitamin B12
The angiogenic response is augmented and temporally shifted toward earlier vessel formation, providing oxygen and nutrients to regenerating tissue during critical early healing phases
However, the conclusions that can be drawn from the included studies are significantly limited given small sample size, limited follow-up time, and a lack of control groups
Fatigue and Dizziness General weakness, dizziness, and loss of energy are frequently reported, particularly during early dose titration
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