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Hsieh, M., Lee, C., Chueh, H., Chang, G., Huang, H., Lin, Y., & Pang, J

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53 , 54 Vegans have a higher prevalence of B 12 deficiency compared with other vegetarians that depends, in part, on dietary rigidity and length of time following this lifestyle

therefore, administrating, and replenishing BS patients with vitamin B supplementation immediately after the operation is crucial to avoid thiamin deficiency [109]

Maintenance Phase: Once adequate B12 levels are achieved, the frequency of injections can be reduced