gastric bypass and semaglutide Bariatric Surgery Outperforms GLP-1s in Weight Loss GLP-1 After Gastric Bypass: Safety

doi: 10.1371/journal.pone.0085387 501 KerrJR

Neurologic symptoms of pellagra include headache, fatigue, apathy, depression, ataxia, poor concentration, delusions, and hallucinations, which can lead to confusion, memory loss, psychosis, and eventual death (27)

Most users note feeling improvements within a few weeks of consistent supplementation

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"The injectables are working for now, but if they don't hold, I'll have to look at bariatric options."Bariatric surgeon Dr Aparna Govil-Bhaskar said patients prefer conservative management over surgical options for all conditions