If follow-up has lapsed which is not uncommon several years after surgery patients are encouraged to re-engage with their GP to arrange a nutritional review and, where appropriate, re-referral to the original bariatric unit or a local specialist service
Any disagreements were resolved by consensus and, if necessary, through discussion with another reviewer
Similarly, in a cross-sectional study by Johnson et al., analysis of 3-day food records in individuals using GLP-1 RA for at least one month showed that 75% of participants reported having increased their protein intake after treatment, yet only 43% achieved the recommended intake of 1.2 g/kg/day
Insulin sensitivity, which often decreases in pregnancy, may take time to normalize
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