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The process begins with a comprehensive consultation that includes medical history review and symptom assessment

Unfortunately, this has been causing the stomach muscles to lock up

Low vitamin B12 but not folate is associated with incident depressive symptoms in community-dwelling older adults: a 4 year longitudinal study

Available online at: (Accessed February 21, 2007)

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Gastric bypass surgery already predisposes patients to deficiencies in vitamin B12, iron, calcium, vitamin D, and other micronutrients due to malabsorption