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This "paradoxical response" (where treatment temporarily makes symptoms worse) includes: Numbness and tingling Shooting pains Joint pain Increased sensitivity Temporary inflammation (swelling and irritation) While these symptoms generally indicate that treatment is working (as nerves begin to repair themselves), they can be distressing for patients and may require additional treatment for comfort
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How Gastric Banding Affects Vitamin B12 Absorption Gastric banding leaves the B12 absorption pathway anatomically intact, so deficiency is driven by dietary restriction and PPI use rather than surgical bypass
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