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It typically begins with declining blood levels (stage I), followed by low cellular levels (stage II), increased homocysteine levels and reduced DNA synthesis (stage III), and finally macrocytic anemia (stage IV)

Glucose control and management can dramatically reduce the development and progression of complications

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23 Supplementation of 1 mg daily is recommended for patients with specific risk factors (e.g., bariatric/gastric surgery patients, those with severe malnutrition, chronic alcohol use, chronic hemolytic anemia and conditions with high cell turnover, and use of antimetabolite medications such as methotrexate)

Sonographic pearls for imaging the brachial plexus and its pathologies

For our bariatric patients from abroad, we provide hospital stay of 1-2 days, accommodations, and airport transfers to make your experience hassle-free