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Any important protocol modification such as changes to eligibility criteria, outcome analyses will be thoroughly communicated with DSMB members and will obtain amendment clearance from the institutional review board (IRB)

People who have stomach stapling or other forms of weight-loss surgery are also more likely to be low in vitamin B12 because the operation interferes with the bodys ability to extract vitamin B12 from food

The constant need to monitor food choices and the fear of triggering symptoms can lead to social anxiety and difficulty engaging in everyday activities

Its recommended if symptoms include: Persistent fatigue Muscle or joint pain Nerve tingling or numbness Memory or concentration problems Frequent infections Get tested because early testing and correction can prevent lasting damage and improve overall well-being