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Rapid, Targeted Anaesthesia The higher concentration allows for faster and deeper numbness, making it suitable for procedures requiring more robust analgesia

-Sarah Yep hCGer 3: Yes I have been using the b12 with lipo and I see a huge difference in energy hunger and losses

This improves patient outcomes

McLean, R

You will have to continue with these B12 shots and take high doses of B12 supplements after that

The mechanisms underlying post-sleeve GORD are multifactorial and include: Reduced lower oesophageal sphincter (LOS) pressure due to removal of the gastric fundus, which normally acts as a pressure buffer Increased intragastric pressure within the narrow sleeve, promoting reflux of acidic contents into the oesophagus Altered gastric emptying and motility changes that can delay clearance of acid from the oesophagus Hiatus hernia , which may be unmasked or worsened by the surgical procedure Sleeve stenosis , which can contribute to reflux and should be considered if symptoms are refractory For patients who develop de novo GORD or experience a significant worsening of pre-existing reflux after sleeve gastrectomy, long-term PPI therapy may be necessary