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[11] Bile-acid sequestrants and orlistat impair intestinal absorption of fat-soluble vitamins, explaining why some patients switch to parenteral therapy, whereas magnesium-containing antacids and digoxin can synergise with vitamin D to provoke hypermagnesaemia or digitalis toxicity if calcium rises unchecked

British Obesity and Metabolic Surgery Society Guidelines on perioperative and postoperative biochemical monitoring and micronutrient replacement for patients undergoing bariatric surgery2020 update

Adequate Vitamin B12 levels also contribute to normal energy metabolism, healthy brain function, and proper formation of red blood cells

Instead, it supports muscle growth indirectly by accelerating tissue recovery, reducing chronic inflammation, strengthening tendons and ligaments, and improving gut health for better nutrient absorption

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