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Int J Obes related Metab disorders: J Int Assoc Study Obes

If the patient had fatigue, tingling, or other symptoms attributable to B12 deficiency, I want these to be improving (or at least stabilised) before surgery

These include nanoparticle formulations that encapsulate berberine to improve bioavailability and synthetic modifications of the molecule to increase solubility

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Six trials involving approximately 900 participants confirmed no treatment-related serious adverse events, no IGF-1 elevation, no cardiovascular events, and no immunogenic response