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Long-term side effects may include: Dumping syndrome Digestive discomfort Vitamin and mineral deficiencies Gallstones Permanent changes in food tolerance and digestion Because digestion and nutrient absorption are permanently altered after many bariatric procedures, long-term supplementation and nutrition monitoring usually become lifelong priorities
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The shuttle utilizes this to its advantage by attaching the LCFAs to carnitine
Infection and smoking are two likely triggers
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