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visceral fat fell about 40%. After withdrawal, insulin resistance returned in proportion to regained weight. Maintaining some weight loss did not preserve the full metabolic benefit when substantial regain occurred

Post-Gastric Bypass Patients For patients who have undergone Roux-en-Y gastric bypass (RYGB), vitamin B12 deficiency is a common issue due to malabsorption

The folate-cobalamin interaction is pivotal for normal synthesis of purines and pyrimidines and the transfer of the methyl group to cobalamin is essential for the adequate supply of tetrahydrofolate, the substrate for metabolic steps that require folate

Published online June 27, 2014

The trade-off is volume