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The mechanisms underlying weight regain are multifactorial and include metabolic adaptation with decreased energy expenditure, hormonal changes affecting appetite regulation, anatomical alterations such as gastric pouch or stoma dilation, and psychosocial factors including maladaptive eating behaviors

Similarly, precise dosage of vitamin injection is dispensed into vial which are then capped and tightly sealed

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We recommend using a new, sterile syringe for every single procedure to eliminate any risk of cross-contamination