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Patients concerned about broader nutritional deficiencies during aggressive fat loss protocols should request comprehensive nutrient panels, not just B12

Real-world impact: A person who loses 50 pounds and maintains that new weight must eat 300-400 fewer calories daily than someone who naturally weighs that amount

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These challenges include extended cecal intubation times, greater scope looping, and a higher likelihood of missed lesions due to poor preparation

Laparoscopic Roux-en-Y Gastric Bypass: This surgery creates a smaller stomach pouch, typically about the size of a walnut, by stapling a portion of the stomach