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In some cases, a doctor or surgeon may recommend that you undergo the sleeve gastrectomy first, then revisit the duodenal switch in 9-12 months

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For example, growth hormone-releasing peptides might be suggested for muscle recovery, while collagen-boosting peptides could help improve skin elasticity

You leave with a blood test request form, information about starting Tier 1 supplements, and a recommendation to have the bloods done as soon as possible Two to four weeks later, at the follow-up consultation, I review your blood results with you, add any Tier 2 supplements based on what the bloods show, and discuss your surgical plan in more detail A minimum of four weeks between first consultation and surgery: this is the floor, not the target