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Annual blood tests including serum B12, full blood count, ferritin, vitamin D, and folate are recommended as a minimum for long-term post-bariatric monitoring
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A vitamin B12 deficiency can affect oral health and cause the These symptoms occur due to a reduction in RBC production, which results in less oxygen reaching the tongue
While this effect appears to be related to the magnitude and rapidity of glucose lowering rather than a direct effect of the medication itself, patients with a history of diabetic retinopathy should undergo careful ophthalmologic evaluation before and during treatment, and the potential risks should be weighed against the expected benefits of improved glycemic control
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