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Longhua Guo, Feng Shao, Haoxing Xu, Ming Li, Yue Xu, and Xiao-Wei Chen for constructive suggestions on the manuscript writing

This is particularly beneficial for individuals who suffer from gastrointestinal issues that cause them to have difficulty absorbing food nutrients

Research shows that individuals carrying more body fat often experience more dramatic absolute changes in measurements and weight

The main challenge is the altitude, which is why we climb slowly, drink water, and use oxygen if necessary

Another possibility is that obesity could lower serum vitamin B12 levels through decreased dietary intake or absorption, increased catabolism, and sequestration in adipose tissue, or changes in the gut microbiota profiles which could affect the metabolism of vitamin B12