As the authors point out, long-term proton pump inhibitor use is connected to serious side effects and increases the risk of some other potentially serious conditions such as Clostridium difficile associated diarrhea, osteoporosis, and vitamin or electrolyte malabsorption
These weight-related health conditions can lead to a wide range of issues that become difficult to manage on a daily basis and can even become life-threatening, so reducing the risks of developing these health conditions in an effective way is incredibly important for those undergoing medical weight loss treatments
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From a veterinary perspective, this matters because medicating cats consistently is notoriously difficult