She goes above and beyond by providing detailed post-procedure advice for my home care routine
The mechanisms underlying post-sleeve GORD are multifactorial and include: Reduced lower oesophageal sphincter (LOS) pressure due to removal of the gastric fundus, which normally acts as a pressure buffer Increased intragastric pressure within the narrow sleeve, promoting reflux of acidic contents into the oesophagus Altered gastric emptying and motility changes that can delay clearance of acid from the oesophagus Hiatus hernia , which may be unmasked or worsened by the surgical procedure Sleeve stenosis , which can contribute to reflux and should be considered if symptoms are refractory For patients who develop de novo GORD or experience a significant worsening of pre-existing reflux after sleeve gastrectomy, long-term PPI therapy may be necessary
For semaglutide users specifically, the methylcobalamin advantage is about bypassing a compromised absorption system
Lines LM, Sherif NA, Wiener JM
This adds a step that some users find intimidating initially but becomes routine quickly
Although diverticula rarely cause symptoms, diverticulitis can cause bloating, diarrhea, constipation, or blood in your stool
