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This was expected because glutathione is depleted in the detoxification of many mycotoxins

Good levels of stomach acid are necessary for effective B12 absorption

Search terms included bariatric surgery OR gastric banding OR laparoscopic sleeve gastrectomy OR Roux-en-Y gastric bypass AND micronutrients deficiency OR vitamin B deficiency OR vitamin B complex OR vitamin B 1 OR thiamine OR vitamin B 2 OR riboflavin OR vitamin B 3 OR niacin OR vitamin B 5 OR pantothenic acid OR vitamin B 6 OR pyridoxine OR vitamin B 9 OR folic acid OR folate OR vitamin B 12 OR cobalamin AND psychological disorder OR depression OR anxiety OR bipolar AND cognitive disorder OR Alzheimer OR dementia AND neurological disorders OR Wernicke encephalopathy OR peripheral neuropathy, OR hyperhomocysteinemia, with filters identifying studies published between 2000 to 2021

19,189 Ischaemia and stroke Brain ischaemia can be caused by a systemic fall in blood supply (for example due to heart failure) or by occlusion of blood vessels through gradual thrombus formation or by acute embolism