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Another keyhole operation (re-laparoscopy) or endoscopy and blood transfusion may be needed for the treatment of post-operative bleeding

Baseline vitamin B12 levels before starting metformin Annual monitoring for patients on long-term metformin therapy Consideration of vitamin B12 supplementation if deficiency is detected Antibiotics and Chemotherapy Agents That Affect B12 Metabolism Certain antibiotics and chemotherapy agents can harm vitamin B12 metabolism

If purging continues at the same rate but less intensely, you're genuinely purging and the reduced frequency simply slowed it down

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Below 10 units (0.1mL), measurement precision drops significantly on standard syringes