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The approach must be individualized, balancing the need for brain folate restoration with methylation support, immune modulation, and gut healing to ensure the best possible outcome

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The increase of circulating OXM and FGF21 levels in patients after mRYGB correlate with body weight loss Since OXM is one of the incretins elevated after bariatric surgery, we measured fasting OXM levels in plasma of individuals with severe obesity before and 4 weeks after restrictive or metabolic gastric bypass (mRYGB) bariatric surgery

Targher G, Valenti L, Byrne CD

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