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In the morning, stomach acid and digestive enzymes are typically higher, making it easier to absorb certain nutrients like vitamin C, and B vitamins

"Typically, I will not start out by microdosing, but I will rather taper off the dose once an ideal body weight has been achieved and patients have made total lifestyle changes

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The medication may improve multiple metabolic markers, including blood glucose control, insulin sensitivity, blood pressure, and lipid profiles

One important consideration: a small number of patients experience worsening acid reflux (GERD) after sleeve surgery because the procedure removes the fundus of the stomach, which can affect the lower esophageal sphincter