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There is a well-established association between bariatric surgery and an increased postoperative risk of suicide, possibly related to unrealistic or thwarted expectations for weight loss, potentiation of the effects of alcohol from alterations in alcohol processing and absorption in the gut, and interference with anti-depressant effect due to pharmacokinetic changes (malabsorption and altered volume of distribution) [185, 186]

In fact, the tests missed two PT patients in the study who were subsequently diagnosed with internal carotid artery aneurysms, which can be life-threatening if they rupture ( Am J Otolaryngo l

It's best to start with a lower dose and adjust as needed

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