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Vitamin B Complex Deficiency After Roux-en-Y Gastric Bypass and Sleeve Gastrectomy—a Systematic Review and Meta-Analysis | Obesity Surgery | Springer Nature Link

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Diet Type_Gluten Free

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Constipation is less dose-dependent and can persist, making it a more durable reason for discontinuation in patient reports.⁸ ²³ Sulfur burps reflect food sitting longer in a slowed stomach.⁹ ²³ Fatigue ranks second only to nausea in patient forums, although much of it tracks the calorie deficit rather than tirzepatide itself.²³ Fried or fatty foods, coffee, meat, and alcohol can also become less appealing