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Those who have had bariatric surgery or other gastrointestinal procedures often have less stomach surface area available for vitamin absorption

Many perioperative factors can affect the gut microbiota, including the operation itself, antibiotics, opioids or acid-inducing drugs (Krezalek and Alverdy, 2016)

This problem extends beyond semaglutide

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unknown long-term human safety profile Semaglutide : GI side effects common (nausea 44%, diarrhea, vomiting)