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Urgent red-flag symptoms seek immediate medical attention: Persistent or severe vomiting after surgery, sudden confusion, problems with balance or coordination, visual disturbances, or rapidly worsening weakness or numbness may indicate acute thiamine (vitamin B1) deficiency, which can cause a serious neurological condition called Wernicke's encephalopathy

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79 , 80 Thus, intravenous iron substitution is an individual medical decision

If necessary, elastic MACS lifting can also be performed in the third decade of life, as it is minimally invasive and prevents gravitational ptosis

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