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Post-Surgical Care: Patients who have undergone gastrointestinal surgeries, such as gastrectomies or ileal resections, may face challenges in absorbing B12 from food due to changes in the digestive process

Patients feel full sooner and longer, which reduces overeating without aggressive calorie cutting

Philadelphia: Lippincott, Williams & Wilkins

This narrow margin between deficiency and excess necessitates careful monitoring of Se supplementation, especially in individuals who may be at risk of selenosis due to high dietary Se intake or excessive supplementation [77]