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coli and Dorea species (Brenner et al., 2018)

Heres a breakdown of the common choices

Additionally, stay away from all processed foods

What the Published Data Shows Across the research literature, B12 deficiency rates after bariatric surgery fall in the following ranges (3): Roux-en-Y gastric bypass: approximately 2% to 80%, depending on follow-up duration and supplementation Sleeve gastrectomy: 0% to 36.4%, with deficiency often emerging up to two years post-surgery Biliopancreatic diversion with duodenal switch: highest rates, often requiring lifelong parenteral supplementation Weight loss medications: up to 2.6% incidence within one year of treatment These are wide ranges because research has pooled studies with very different follow-up windows and supplementation regimens

Each receptor contributes something unique to the overall metabolic effect, and their combined activation produces outcomes that no single-receptor agonist can match