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At the same time, Zn supplementation was also associated with improvement of lipoprotein profile (decreased ApoB/ApoA1, oxLDL, total cholesterol and LDL-cholesterol values) and reduced leptin levels [19]

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doi: 10.3390/nu17081383 212

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Other people may have recently had gastric band surgery or suffer from autoimmune atrophic gastritis which prevents them from absorbing B12 from their food