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Understanding that high B12 serves primarily as a biochemical marker prompting further investigation is essential for appropriate clinical management and identifying potentially significant underlying pathology

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In some cases, persistent and severe GORD that is unresponsive to medical management may prompt a clinical discussion about revisional bariatric surgery most commonly conversion to a Roux-en-Y gastric bypass, which tends to resolve reflux symptoms more effectively

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[ 21 ] A comparison with antidepressants found that BPC-157 was effective in attenuating depression