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Some bariatric surgeries, specifically the Roux-en-Y gastric bypass, reroute food away from the areas of your digestive system where most of the B12 is absorbed

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3.2.4 Ferroptosis and amyotrophic lateral sclerosis ALS is a lethal NDD characterized by progressive degeneration of upper and lower motor neurons in the cerebral cortex, brainstem, and spinal cord, leading to skeletal muscle atrophy, weakness, weight loss, dysarthria, dysphagia, paralysis, and ultimately death from respiratory failure (Urano et al., 2025)

N-acetylcysteine administration alters the response to inspiratory loading in oxygen-supplemented rats