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Screening may be warranted in patients with one or more risk factors, such as gastric or small intestine resections, inflammatory bowel disease, use of metformin for more than four months, use of proton pump inhibitors or histamine H 2 blockers for more than 12 months, vegans or strict vegetarians, and adults older than 75 years

Preventive steps include: Following post bariatric surgery diet plans strictly Avoiding high sugar foods from the beginning Eating mindfully and slowly Attending regular follow up visits Reporting early symptoms to your doctor With proper education and support, many patients avoid long term complications