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Bloody or black tarry stools : These require urgent medical assessment (note: Pepto-Bismol itself causes temporary black discolouration of stools and tongue, which can confuse clinical assessment)

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Participants were followed for at least 1 year after starting medication

LDL cholesterol typically begins dropping within weeks of surgery, with significant improvements visible at the first post-op lab draw

When the body perceives significant energy deficit or metabolic stress, it may suppress reproductive function as a protective mechanism