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reported post-VSG increases in lumbar BMAT alongside peripheral MAT reductions, underscoring region-specific fatbone interactions, although other studies report a reduction in BMAT with VSG

The subcutaneous tissue can develop localized changes that alter absorption

The effects are also faster-acting and more predictable.

Conclusion While hardly anyone has to be concerned about protein, it can be a bit more difficult to asses if you get enough B12