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Obes Surg 31(4):17551766 Nedelcu M, Khwaja HA, Rogula TG (2016) Weight regain after bariatric surgery-how should it be defined

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While the prevalence of sporadic CAA increases with age, instances of early-onset CAA have been reported particularly in the context of prior neurosurgical interventions

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A healthcare provider must evaluate appropriateness and monitor outcomes closely when prescribed off-label

That's not your body just rejecting bicarb, that's the delivery system failing you