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Document baseline mood, anxiety levels, sleep quality, cognitive function, and any gastrointestinal symptoms using standardized self-report measures

The vitamin B12 that I use is preservative free and highly absorbable methylcobalamin

Post-WLS screening is recommended for all patients who have undergone Roux-en-Y gastric bypass (RYGB), sleeve gastrectomy (SG), or Biliopancreatic diversion/duodenal switch BPD/DS

Notably, activators of SIRT1, such as metformin, have demonstrated the ability to inhibit Th17 cell differentiation and downregulate IL-17A and RORt levels by promoting STAT3 deacetylation (Hamaidi and Kim, 2022)