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Tate M, Robinson E, Green BD, et al

Malabsorptive procedures (e.g., RYGB, BPD) significantly reduce absorption areas by bypassing the jejunum or ileum, leading to more severe nutrient deficiencies and bone loss

International Immunopharmacology

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Supplements like berberine dont work the same way and wont produce similar results

Its absolute weight effect is smaller, which may be a feature in the right patient rather than a limitation
