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During breast reduction surgery, excess tissue is removed and the remaining skin is excised and reshaped for an enhanced breast contour

E., Yen, K., & Cohen, P

Ces complments et aliments enrichis sont la seule source significative de vitamine B 12 pour les vgtaliens [25] et les vgtariens [26]

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Supplementation ensures adequate levels to prevent complications like nerve damage or anemia

This typically involves: Intrinsic factor antibodies (highly specific for pernicious anaemia, though sensitivity is only 50%) [12] [28] Gastric parietal cell antibodies (more sensitive but less specific) Coeliac serology if malabsorption is suspected Consideration of upper gastrointestinal endoscopy in selected cases, particularly with autoimmune gastritis/pernicious anaemia NICE guidance emphasises that treatment should not be delayed whilst awaiting antibody results if clinical features strongly suggest deficiency, as irreversible neurological damage can occur