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In a subset of patients, post-bariatric hypoglycaemia can develop months to years after surgery, thereby representing a potential extreme example of altered glucose metabolism

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Despite these well-known risks, some data suggest roughly a third of individuals may not be fully adherent to pregnancy prevention guidelines (eg, intercourse with fewer than two forms of contraception, failure to remain abstinent, missing doses of oral contraceptives or in some cases, having completely unprotected intercourse). Because of these concerns, dermatologists may consider advocating for more reliable forms of contraceptives, including reversible contraceptives and intrauterine devices or implants, Blalock said

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