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Although gastric banding carries a lower risk of B12 deficiency than malabsorptive procedures such as Roux-en-Y bypass, reduced tolerance of B12-rich foods and the use of acid-suppressing medicines can still compromise nutritional status over time

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258,259 Intracytoplasmic sperm injection results in successful pregnancy and birth in about 30% of cases overall, and evidence suggests sperm DNA fragmentation may play a role in limiting positive outcomes

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