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Vitamin B 12 stores in the liver last 35 years, meaning deficiency symptoms may take time to manifest, complicating direct causality assessments

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Technique: Roll the device across thinning areas in multiple directions, longitudinal, vertical, and diagonal

In the initial phase, robust T-cell responses selectively eliminate tumor cells expressing the targeted neoantigens, creating immunologic pressure that shapes tumor evolution

However, more research is needed as to which route is the best after bariatric surgery

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