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Improved insulin sensitivity means your cells can more effectively take up glucose from the bloodstream, reducing the metabolic stress that contributes to type 2 diabetes and metabolic syndrome

Some complications improve with appropriate treatment, but others, such as problems with the nervous system, can be permanent

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Deficiency after gastric banding is therefore primarily related to: Reduced dietary intake and food tolerance , limiting consumption of B12-rich foods Use of acid-suppressing medicines (PPIs or H2RAs) , which can impair the release of B12 from food proteins and reduce absorption of food-bound B12 Crystalline B12 the form found in supplements and fortified foods does not require acid or pepsin for release

For bigger weight loss and stronger results, semaglutide appears to come out ahead