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My husband had enlarged red blood cells which our GP informed us was thick blood I researched it and found out it was megaloblastic anaemia as opposed to pernicious anaemia they are two different conditions

[9] A related cause is reduced stomach acid production with age or from long-term use of proton-pump inhibitors, [10] H 2 blockers, or other antacids, [11] and interaction with metformin

Due to the reduced stomach size and altered digestive environment following a sleeve gastrectomy, certain practical considerations apply: Chewable or liquid formulations are often recommended in the early post-operative period, as tablets may be difficult to tolerate