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avoid overheating and vigorous exercise until symptoms settle Nutritional and supplement management: Attend all scheduled post-operative nutritional reviews and blood monitoring appointments in line with BOMSS guidance Take prescribed bariatric-specific supplements consistently — these are formulated to address the nutritional challenges unique to sleeve gastrectomy patients Work with a registered dietitian to optimise your diet and supplementation plan Skin care and environmental measures: Use fragrance-free, hypoallergenic skin products to minimise irritant and contact allergen exposure

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Horses and ponies are able to synthesise (make) their own vitamin B12 when they have a healthy balance of hindgut microflora, sufficient fibre in their diet and a suitable mineral intake- particularly adequate dietary cobalt