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The initial weight loss following sleeve gastrectomy typically occurs over 18-24 months as patients adapt to smaller portions and physiologic changes stabilize

When to contact your healthcare provider: If gastrointestinal symptoms are severe, persistent beyond the first few weeks, or significantly impact your daily activities and nutritional intake, contact your GP or diabetes specialist nurse

The plate formula Half your plate: lean protein

Metabolic roles of poly(ADP-ribose) polymerases

When to Consider Alternative or Additional Support If you've been on semaglutide for 34 months and ashwagandha for 68 weeks but aren't seeing desired weight loss progress, a reassessment is warranted