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Because the absorptive anatomy is preserved after LAGB, routine prophylactic B12 injections are not standard practice for all gastric banding patients

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That makes them far more effective than oral supplements, especially for patients managing deficiencies, chronic fatigue, or general low energy

The ominous octet (Defronzo model) includes: decreased muscle glucose uptake, increased hepatic glucose output, impaired incretin effect, alpha-cell hyperglucagonemia, increased renal glucose reabsorption (SGLT-2 upregulation), increased lipolysis (adipose), decreased central satiety signaling, and decreased beta-cell insulin secretion