Indications for revision include: Staple line complications (such as leaks, bleeding, or stenosis) caused by mechanical or ischemic issues Severe side effects unresponsive to medication, including severe GERD or persistent vomiting Stretching of the gastric sleeve, insufficient weight loss, or weight regain Gastric Sleeve Surgery Aftercare Gastric sleeve aftercare involves a strict, phased diet (liquids to soft solids), starting with clear fluids and progressing over weeks to prevent leaks and allow healing, alongside gradual activity like walking, avoiding heavy lifting and strenuous exercise, and focusing on hydration, small bites, thorough chewing, and lifelong vitamin supplements and follow-up appointments for long-term success
Prioritising nutrient-dense foods helps ensure the body receives adequate protein, vitamins, and minerals despite smaller intake volumes
Its job is specific: it inhibits an enzyme called NNMT nicotinamide N-methyltransferase that becomes overactive in fat tissue, especially as we age
This method has good linearity, precision, specificity, and recovery, but it also indicates the need for careful monitoring and regulation of its use [2]
