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It contributes to skin elasticity, or how quickly the skin bounces back into shape after movement

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similarly not universally available and has multiple causes Full blood count to identify macrocytosis or megaloblastic changes Blood film to assess red blood cell morphology NICE CKS guidance and the British Society for Haematology (BSH) recommend that clinical symptoms should always be considered alongside laboratory values, particularly in high-risk groups such as post-bariatric surgery patients

Bariatric surgery permanently reduces stomach size and removes portions of the stomach that produce intrinsic factor