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Although gastric banding carries a lower risk of B12 deficiency than malabsorptive procedures such as Roux-en-Y bypass, reduced tolerance of B12-rich foods and the use of acid-suppressing medicines can still compromise nutritional status over time

This is of particular relevance to livestock in view of the past application of antimicrobials as growth promoters (AGP) consisting of low-dose administration of antibiotics correlated with a significant improvement in performance [12]

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Additionally, some individuals may experience muscle and joint pain, often accompanied by stiffness or discomfort