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These consequences may not become apparent for months or even years post-surgery, which is why proactive supplementation from the outset is strongly advised by bariatric healthcare teams across the UK, in line with NICE CG189 and BOMSS postoperative micronutrient guidance

Because there are many health conditions that can cause extreme fatigue, other testing must be done to rule out potential underlying causes, such as: Thyroid dysfunction Nerve disorders Nutrient Deficiencies Cortisol saliva testing or blood tests may be ordered by your healthcare provider

Spragleys specializations and interests include non-surgical management of cranial cruciate ligament tears, Intervertebral Disk Disease(IVDD), and pain management in osteoarthritis

Additionally, patients receiving treatments affecting bone marrow function need careful monitoring during therapy

Some people may also experience loss of taste and smell