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32 At this stage, some patients may experience pathological changes, such as intestinal stricture and perforation, as well as serious complications, including severe abdominal pain, severe diarrhea, and high fever
It is therefore vital that the individual with obesity has in place a comprehensive support team providing mental/emotional as well as physical treatment strategies
Severe cases may require hospitalization or surgery

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For many individuals, starting with a multivitamin, protein support, and electrolytes is enough to build a strong nutritional foundation
