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I've had a long experience with transforming people's lives by getting them to bariatric surgery, what we call metabolic surgery

Fernandes AP, Gandin V (2015) Selenium compounds as therapeutic agents in cancer

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It is important for those who are pregnant or lactating to ensure they get enough B12 from their diet or supplements to avoid becoming deficient or passing a deficiency to their baby

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The answer depends entirely on which formulation you are using