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The peptide was initially manufactured for veterinary purposes in the early 2010s, but was subsequently banned for use in horse racing [16, 17]

It is therefore important to understand that whilst the sleeve is considered less malabsorptive than bypass surgery, nutritional deficiencies are still a genuine and preventable risk that requires proactive management from the outset, in line with guidance from the British Obesity and Metabolic Surgery Society (BOMSS) and the NHS

This is because B12 is essential for the health of the nervous system

These audits and no doubt countless associated studies, have encouraged GPs to reduce the number of B12 injections and in some cases stop them altogether

This strategy limits discomfort to the upper layers, while also promoting faster healing