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In the last decade several studies have been conducted which revealed the relevant role of IGF-1 in the development of MetS

In the absence of reliable markers, clinicians should approach extended antioxidant use with caution, particularly when OS has not been established

What the Published Data Shows Across the research literature, B12 deficiency rates after bariatric surgery fall in the following ranges (3): Roux-en-Y gastric bypass: approximately 2% to 80%, depending on follow-up duration and supplementation Sleeve gastrectomy: 0% to 36.4%, with deficiency often emerging up to two years post-surgery Biliopancreatic diversion with duodenal switch: highest rates, often requiring lifelong parenteral supplementation Weight loss medications: up to 2.6% incidence within one year of treatment These are wide ranges because research has pooled studies with very different follow-up windows and supplementation regimens

182 VendittiP.Di StefanoLDi MeoS