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Some health issues make you more likely to have PA

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Higher doses produce stronger effects but also real risks insulin resistance and higher blood glucose, fluid retention and edema, joint pain and, with chronic excess, acromegalic changes

Groups vulnerable to these deficiencies include individuals dealing with obesity, impaired nutrient absorption, renal issues, proton pump inhibitor (PPI) users, elderly individuals with elevated Clinical Frailty Scores, women, taller individuals, and post-bariatric surgery patients, especially those lacking postoperative care [3, 43,44,45]

Conclusion Post-gastrectomy patients are long-term care relationships