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L-Arginine is the only substrate in the biosynthesis of nitric oxide (NO), which plays critical roles in important physiological processes in the human body including neurotransmission (nerve communication between cells), vasorelaxation (dilation of blood vessels), protective cytotoxicity (removal or bad cells) and immunity

Unlike gastric bypass procedures, the sleeve gastrectomy does not reroute the small intestine, so malabsorption is generally less pronounced

[PubMed: 10845097] 7

Its a known fact that B12 does not absorb well through the stomach lining (and many have poor gut health complicating things even further with this delivery method)

While either procedure can create stunning results on its own, some patients wonder if they can combine the two approaches for even more dramatic results