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BOMSS advises specialist multidisciplinary follow-up for at least two years post-surgery, with lifelong monitoring thereafter in primary care

Reported dose-dependent limitation of weight and fat-mass gain, improved glucose tolerance and insulin sensitivity, reduced hyperinsulinemia, and improvements in steatosis and liver markers

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As a result, methylfolate is converted to tetrahydrofolate, which is required for purine synthesis which in turn is required for DNA synthesis

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Consistent use and adherence to a healthy diet and exercise plan are important for optimal results