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They lose the ability to absorb B12 as they can for other nutrients

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Growth Hormone Secretagogues: Peptides like CJC-1295/Ipamorelin stimulate endogenous growth hormone release, which then elevates IGF-1 and affects glucose metabolism

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Bypass surgery itself removes areas that produce necessary co-factors for absorption, which is compounded by faster gut transit time, which lessens what can be extracted from the digestive process

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