Long-term considerations Sleeve-specific: Higher risk of GERD development or worsening Rare gastric narrowing (stricture) requiring intervention Bypass-specific: Internal hernias Marginal ulcers at the connection site Dumping syndrome after sugary or fatty foods More vigilant nutritional monitoring is required Warning signs: when to seek medical attention During the first 12 weeks, contact your surgical team or seek emergency care for: Fever above 38C (100.4F) Increasing abdominal pain not relieved by medication Persistent vomiting is preventing fluid intake Signs of dehydration: dark urine, dizziness, rapid heartbeat Redness, swelling, or discharge from incisions Chest pain or difficulty breathing Calf pain or swelling (possible blood clot) Within the first 30 days, also watch for: Severe or worsening heartburn Inability to tolerate liquids or soft foods Shoulder or upper back pain According to BOMSS, early recognition leads to better outcomes

Animal models of preeclampsia: causes, consequences, and interventions
In other cases, specific resident microflora can expand following antibiotic use, clearing competing symbiotic organisms, and promoting disease (e.g., Clostridium difficile) [104]
NADPH The cofactor that drives glutathione reductase the cell's recycling currency Glutathione reductase requires NADPH to convert GSSG back to GSH