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doi: 10.1016/j.micpath.2021.105216 256 HamerHMJonkersDMVanhoutvinSATroostFJRijkersGde BruneAet al

Contact your bariatric team, GP, or pharmacist if: You are in the first 46 weeks post-surgery and are unsure whether tablets are safe to swallow You experience persistent nausea, vomiting, or difficulty swallowing after taking any oral medication persistent vomiting also carries a risk of dehydration after bariatric surgery and should be assessed promptly Your allergy symptoms are severe, worsening, or not responding to standard antihistamine doses You are taking multiple medications and are concerned about interactions or absorption issues You develop a new or unexplained rash this should always be assessed clinically to rule out a surgical or nutritional cause rather than assumed to be a simple allergic reaction You are pregnant or breastfeeding , as medication safety guidance may differ in these circumstances It is also important to attend all scheduled post-operative follow-up appointments with your bariatric MDT

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