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This step introduces the highest-risk variable in the entire protocol

Role of reactive oxygen species in gynecologic diseases

Adequate B12 levels can help preserve the health and integrity of the nervous system, promoting optimal nerve transmission and reducing the risk of neurological disorders

Similarly, bariatric procedures such as Roux-en-Y gastric bypass alter the anatomy and mixing of digestive contents, leading to impaired B12 absorption and necessitating lifelong B12 supplementation according to American Society for Metabolic and Bariatric Surgery guidelines

Common dietary supplements for hypothyroidism and Hashimotos disease include iodine, vitamin D, and selenium