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They may ask you to adjust your medications and supplements to prevent the therapy from interfering with them negatively

By Manuel Bowman Fact-checked by Payton Olsen Last updated June 2026

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Hiroyuki Murakami and Dawei Li for their helpful comments on an earlier version of the manuscript

We also discuss how metabolic surgeries, such as Roux-en-Y gastric bypass and sleeve gastrectomy, can double peak blood alcohol concentrations due to faster absorption and reduced first-pass metabolism, significantly increasing the risk of alcohol use disorder and alcohol-related harm an effect that warrants increased monitoring of alcohol use post-surgery, particularly in pediatric patients
bacterial counts can exceed 100,000 CFU/mL in clear-appearing water
