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Also, tell your healthcare professionals if you smoke, drink alcohol, or use recreational drugs because some of these substances can cause serious health complications when used with medications and vitamin supplements

Due to the reduced stomach size and altered digestive environment following a sleeve gastrectomy, certain practical considerations apply: Chewable or liquid formulations are often recommended in the early post-operative period, as tablets may be difficult to tolerate

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[9] A related cause is reduced stomach acid production with age or from long-term use of proton-pump inhibitors, [10] H 2 blockers, or other antacids, [11] and interaction with metformin

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