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Blood tests are a cornerstone of post-bariatric assessment, in line with BOMSS post-operative monitoring guidance, and will typically include: Full blood count Vitamin B12 and folate levels Thiamine (Vitamin B1) though treatment should not be delayed pending results if deficiency is clinically suspected Vitamin D, calcium, and parathyroid hormone (PTH) Ferritin and iron studies Copper (prioritised for neuropathy assessment) and zinc Magnesium TSH (thyroid function) HbA1c (to assess blood glucose control) If a structural or spinal cause is suspected, your team may arrange imaging such as an MRI of the lumbar spine or pelvis

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TGF beta enforces activation of eukaryotic elongation factor-2 (eEF2) via inactivation of eEF2 kinase by p90 ribosomal S6 kinase (p90Rsk) to induce mesangial cell hypertrophy

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