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[12] [1] Certain groups should take supplements year-round, including: People with dark skin (African, African-Caribbean, or South Asian backgrounds) Those who are housebound or have limited sun exposure Residents of care homes People who cover their skin for cultural or religious reasons Pregnant and breastfeeding women Children aged 1-4 years (10 micrograms daily) Exclusively breastfed infants (8.5-10 micrograms daily, unless consuming more than 500ml of infant formula daily) Dietary sources of vitamin D include oily fish (salmon, mackerel, sardines), egg yolks, fortified foods (breakfast cereals, spreads), and red meat, though it is difficult to obtain sufficient amounts from diet alone

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Clinical experience suggests these patients should start preventive acid-suppressing medication (usually a PPI) at the same time they begin semaglutide, rather than waiting for symptoms to develop

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