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Three things happen: gastric acid production drops dramatically, intrinsic factor production declines because most parietal cells are in the bypassed stomach, and food no longer passes through the duodenum, where the transfer to this carrier normally occurs

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In one small study, female athletes who consumed increased choline had greater weight loss, especially body fat, than those who did not

Bariatric surgery changes how your digestive system works , while treatments like Mounjaro or Wegovy help control appetite and blood sugar