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Individuals should contact their GP or NHS 111 if they experience black, tarry stools (melaena) or bright red blood in stools (haematochezia) , as these may indicate gastrointestinal bleeding requiring immediate investigation

[9] A related cause is reduced stomach acid production with age or from long-term use of proton-pump inhibitors, [10] H 2 blockers, or other antacids, [11] and interaction with metformin

Due to the reduced stomach size and altered digestive environment following a sleeve gastrectomy, certain practical considerations apply: Chewable or liquid formulations are often recommended in the early post-operative period, as tablets may be difficult to tolerate

Refrigeration can be beneficial for short-term storage, while freezing is recommended for long-term preservation to prevent degradation

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