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[17] [18] Women of childbearing potential should inform their healthcare provider if they are taking ALA or planning to start it, and pregnant patients should only use alpha-lipoic acid if it is prescribed by a physician who has judged that the expected benefits outweigh the possible risks

Tuchman M, Caldovic L, Daikhin Y, Horyn O, Nissim I, Nissim I, et al

Delayed gastric emptying may affect the absorption of some oral medicines, particularly those with a narrow therapeutic index (for example, levothyroxine or certain anticoagulants), and may reduce overall nutritional intake during active weight loss

Because part of the pancreas is removed during surgery, the part that remains after surgery may not be able to produce enough enzymes to properly aid with the digestion of food, and patients may not be able to digest or absorb the fat from the food they eat