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The nature of gastric bypass surgery means that a portion of the small intestine is bypassed, which forces the body to undergo neuroendocrine changes and absorb fewer nutrients from food consumed
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Post-gastric surgery patients : These individuals can face similar challenges with nutrient absorption

Diabetes: Research suggests that CoQ10 may help reduce low-density lipoprotein (LDL) cholesterol and total cholesterol levels in people with diabetes, lowering their risk of heart disease

The intrinsic factor is a forerunner to the b12 deficiency so how can oral be considered an alternative