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Key topics to discuss at the pre-procedure assessment include: Confirmation of your bariatric surgery type and date , so the team can tailor the prep protocol appropriately Choice of bowel preparation agent , including whether a lower-volume option is suitable given your gastric capacity and any relevant comorbidities Adapted fluid intake instructions , with a schedule that reflects your reduced gastric capacity Electrolyte monitoring , particularly if you have known nutritional deficiencies, renal impairment, or are taking diuretics Medication and supplement management in the days leading up to the procedure (see section above) Sedation considerations : post-bariatric patients may have an increased prevalence of obstructive sleep apnoea (OSA)

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However, the problem we find over and over again in this industry is a lack of practice before you gain your certificate

Endocr Rev (2009) 30:15277