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This discovery emerged as the basis for establishing synergy between micronutrients and the immune system [121]

Terrell et al., 2012, 2013)

Understanding Hyperpigmentation Hyperpigmentation occurs when patches of skin become darker than the surrounding areas, primarily due to excess melanin production

patients should follow the advice of their own bariatric team.) Because intrinsic factor production is reduced after surgery, the standard oral route of B12 absorption which relies on intrinsic factor is less reliable

Recommendations depend on medical history, treatment goals, provider evaluation, and clinical appropriateness

[DOI] [PMC free article] [PubMed] [Google Scholar] 79.White SC