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	<title>Metabolic Surgery Archives - DSSurgery</title>
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	<link>https://www.dssurgery.com/articles/category/metabolic-surgery/</link>
	<description>Duodenal Switch &#38; Gastric Sleeve Weight Loss Surgery in Los Angeles, CA</description>
	<lastBuildDate>Tue, 12 May 2026 14:45:03 +0000</lastBuildDate>
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	<title>Metabolic Surgery Archives - DSSurgery</title>
	<link>https://www.dssurgery.com/articles/category/metabolic-surgery/</link>
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	<item>
		<title>The association of preoperative psychological assessments with long-term sleeve gastrectomy surgery outcomes</title>
		<link>https://www.dssurgery.com/articles/the-association-of-preoperative-psychological-assessments-with-long-term-sleeve-gastrectomy-surgery-outcomes/</link>
					<comments>https://www.dssurgery.com/articles/the-association-of-preoperative-psychological-assessments-with-long-term-sleeve-gastrectomy-surgery-outcomes/#respond</comments>
		
		<dc:creator><![CDATA[Dr. Ara Keshishian]]></dc:creator>
		<pubDate>Tue, 12 May 2026 14:45:03 +0000</pubDate>
				<guid isPermaLink="false">https://www.dssurgery.com/?post_type=articles&#038;p=14913</guid>

					<description><![CDATA[<p>Obesity is not a mental disorder. For years, we have maintained the position that patients do not gain weight primarily because of overeating and lack of exercise. Telling a patient to just eat correctly and exercise will cause weight loss, just as telling a patient that jumping up and down will make them taller. It […] <a class="moretag btn btn-primary btn-xs" href="https://www.dssurgery.com/articles/the-association-of-preoperative-psychological-assessments-with-long-term-sleeve-gastrectomy-surgery-outcomes/"> Read the Full Article</a></p>
<p>The post <a href="https://www.dssurgery.com/articles/the-association-of-preoperative-psychological-assessments-with-long-term-sleeve-gastrectomy-surgery-outcomes/">The association of preoperative psychological assessments with long-term sleeve gastrectomy surgery outcomes</a> appeared first on <a href="https://www.dssurgery.com">DSSurgery</a>.</p>
]]></description>
										<content:encoded><![CDATA[Obesity is not a mental disorder. For years, we have maintained the position that patients do not gain weight primarily because of overeating and lack of exercise. Telling a patient to just eat correctly and exercise will cause weight loss, just as telling a patient that jumping up and down will make them taller. It completely negates other critical factors: genetics, hormones, microplastic-environment, stress, and many others. Our research has shown that psychological status and preoperative psychological evaluation bear no bearing on the long-term outcome of the weight loss surgery.<p>The post <a href="https://www.dssurgery.com/articles/the-association-of-preoperative-psychological-assessments-with-long-term-sleeve-gastrectomy-surgery-outcomes/">The association of preoperative psychological assessments with long-term sleeve gastrectomy surgery outcomes</a> appeared first on <a href="https://www.dssurgery.com">DSSurgery</a>.</p>
]]></content:encoded>
					
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		<title>Nonlinear associations of serum vitamin D levels with advanced liver disease and mortality: a US Cohort Study</title>
		<link>https://www.dssurgery.com/articles/nonlinear-associations-of-serum-vitamin-d-levels-with-advanced-liver-disease-and-mortality-a-us-cohort-study/</link>
					<comments>https://www.dssurgery.com/articles/nonlinear-associations-of-serum-vitamin-d-levels-with-advanced-liver-disease-and-mortality-a-us-cohort-study/#respond</comments>
		
		<dc:creator><![CDATA[Dr. Ara Keshishian]]></dc:creator>
		<pubDate>Sun, 08 Feb 2026 22:49:38 +0000</pubDate>
				<guid isPermaLink="false">https://www.dssurgery.com/?post_type=articles&#038;p=14695</guid>

					<description><![CDATA[<p>Nonlinear associations of serum vitamin D levels with advanced liver disease and mortality: a US Cohort Study</p>
<p>The post <a href="https://www.dssurgery.com/articles/nonlinear-associations-of-serum-vitamin-d-levels-with-advanced-liver-disease-and-mortality-a-us-cohort-study/">Nonlinear associations of serum vitamin D levels with advanced liver disease and mortality: a US Cohort Study</a> appeared first on <a href="https://www.dssurgery.com">DSSurgery</a>.</p>
]]></description>
										<content:encoded><![CDATA[<a href="https://www.dssurgery.com/wp-content/uploads/2026/02/nihms-1845795.pdf">Nonlinear associations of serum vitamin D levels with advanced liver disease and mortality: a US Cohort Study</a>

<a href="https://www.dssurgery.com/articles/nonlinear-associations-of-serum-vitamin-d-levels-with-advanced-liver-disease-and-mortality-a-us-cohort-study/" target="_blank" rel="noopener"><img fetchpriority="high" decoding="async" class=" wp-image-14697 aligncenter" src="https://www.dssurgery.com/wp-content/uploads/2026/02/Screenshot-2026-02-08-at-2.49.03-PM.png" alt="" width="541" height="495" srcset="https://www.dssurgery.com/wp-content/uploads/2026/02/Screenshot-2026-02-08-at-2.49.03-PM.png 736w, https://www.dssurgery.com/wp-content/uploads/2026/02/Screenshot-2026-02-08-at-2.49.03-PM-300x275.png 300w, https://www.dssurgery.com/wp-content/uploads/2026/02/Screenshot-2026-02-08-at-2.49.03-PM-600x549.png 600w" sizes="(max-width: 541px) 100vw, 541px" /></a><p>The post <a href="https://www.dssurgery.com/articles/nonlinear-associations-of-serum-vitamin-d-levels-with-advanced-liver-disease-and-mortality-a-us-cohort-study/">Nonlinear associations of serum vitamin D levels with advanced liver disease and mortality: a US Cohort Study</a> appeared first on <a href="https://www.dssurgery.com">DSSurgery</a>.</p>
]]></content:encoded>
					
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		<title>Liver Injury Associated with Turmeric—A Growing Problem: Ten Cases from the Drug-Induced Liver Injury Network</title>
		<link>https://www.dssurgery.com/articles/liver-injury-associated-with-turmeric-a-growing-problem-ten-cases-from-the-drug-induced-liver-injury-network/</link>
					<comments>https://www.dssurgery.com/articles/liver-injury-associated-with-turmeric-a-growing-problem-ten-cases-from-the-drug-induced-liver-injury-network/#respond</comments>
		
		<dc:creator><![CDATA[Dr. Ara Keshishian]]></dc:creator>
		<pubDate>Sun, 08 Feb 2026 22:34:16 +0000</pubDate>
				<guid isPermaLink="false">https://www.dssurgery.com/?post_type=articles&#038;p=14692</guid>

					<description><![CDATA[<p>Liver Injury Associated with Turmeric—A Growing Problem: Ten Cases from the Drug-Induced Liver Injury Network</p>
<p>The post <a href="https://www.dssurgery.com/articles/liver-injury-associated-with-turmeric-a-growing-problem-ten-cases-from-the-drug-induced-liver-injury-network/">Liver Injury Associated with Turmeric—A Growing Problem: Ten Cases from the Drug-Induced Liver Injury Network</a> appeared first on <a href="https://www.dssurgery.com">DSSurgery</a>.</p>
]]></description>
										<content:encoded><![CDATA[<p style="text-align: center;"><a href="https://www.dssurgery.com/wp-content/uploads/2026/02/PIIS0002934322007409.pdf" target="_blank" rel="noopener">Liver Injury Associated with Turmeric—A Growing Problem: Ten Cases from the Drug-Induced Liver Injury Network </a><a href="https://www.dssurgery.com/articles/liver-injury-associated-with-turmeric-a-growing-problem-ten-cases-from-the-drug-induced-liver-injury-network/" target="_blank" rel="noopener"><img decoding="async" class="alignnone wp-image-14694" src="https://www.dssurgery.com/wp-content/uploads/2026/02/Screenshot-2026-02-08-at-2.33.21-PM-1024x782.png" alt="" width="670" height="512" srcset="https://www.dssurgery.com/wp-content/uploads/2026/02/Screenshot-2026-02-08-at-2.33.21-PM-1024x782.png 1024w, https://www.dssurgery.com/wp-content/uploads/2026/02/Screenshot-2026-02-08-at-2.33.21-PM-300x229.png 300w, https://www.dssurgery.com/wp-content/uploads/2026/02/Screenshot-2026-02-08-at-2.33.21-PM-1536x1173.png 1536w, https://www.dssurgery.com/wp-content/uploads/2026/02/Screenshot-2026-02-08-at-2.33.21-PM-600x458.png 600w, https://www.dssurgery.com/wp-content/uploads/2026/02/Screenshot-2026-02-08-at-2.33.21-PM.png 1836w" sizes="(max-width: 670px) 100vw, 670px" /></a></p><p>The post <a href="https://www.dssurgery.com/articles/liver-injury-associated-with-turmeric-a-growing-problem-ten-cases-from-the-drug-induced-liver-injury-network/">Liver Injury Associated with Turmeric—A Growing Problem: Ten Cases from the Drug-Induced Liver Injury Network</a> appeared first on <a href="https://www.dssurgery.com">DSSurgery</a>.</p>
]]></content:encoded>
					
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		<title>Estimated Exposure to 6 Potentially Hepatotoxic Botanicals in US Adults</title>
		<link>https://www.dssurgery.com/articles/estimated-exposure-to-6-potentially-hepatotoxic-botanicals-in-us-adults/</link>
					<comments>https://www.dssurgery.com/articles/estimated-exposure-to-6-potentially-hepatotoxic-botanicals-in-us-adults/#respond</comments>
		
		<dc:creator><![CDATA[Dr. Ara Keshishian]]></dc:creator>
		<pubDate>Sun, 08 Feb 2026 22:31:33 +0000</pubDate>
				<guid isPermaLink="false">https://www.dssurgery.com/?post_type=articles&#038;p=14690</guid>

					<description><![CDATA[<p>Herbal and dietary supplements that can cause liver function abnormalities are much more common than appreciated. Estimated Exposure to 6 Potentially Hepatotoxic Botanicals in US Adults</p>
<p>The post <a href="https://www.dssurgery.com/articles/estimated-exposure-to-6-potentially-hepatotoxic-botanicals-in-us-adults/">Estimated Exposure to 6 Potentially Hepatotoxic Botanicals in US Adults</a> appeared first on <a href="https://www.dssurgery.com">DSSurgery</a>.</p>
]]></description>
										<content:encoded><![CDATA[<a href="https://www.dssurgery.com/wp-content/uploads/2026/02/likhitsup_2024_oi_240803_1722273448.04833.pdf" target="_blank" rel="noopener">Herbal and dietary supplements that can cause liver function abnormalities are much more common than appreciated.</a>

<a href="https://www.dssurgery.com/wp-content/uploads/2026/02/likhitsup_2024_oi_240803_1722273448.04833.pdf">Estimated Exposure to 6 Potentially Hepatotoxic Botanicals in US Adults</a><p>The post <a href="https://www.dssurgery.com/articles/estimated-exposure-to-6-potentially-hepatotoxic-botanicals-in-us-adults/">Estimated Exposure to 6 Potentially Hepatotoxic Botanicals in US Adults</a> appeared first on <a href="https://www.dssurgery.com">DSSurgery</a>.</p>
]]></content:encoded>
					
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		<title>Reasons for discontinuation of GLP1 receptor agonists: data from a real-world cross-sectional survey of physicians and their patients with type 2 diabetes</title>
		<link>https://www.dssurgery.com/articles/reasons-for-discontinuation-of-glp1-receptor-agonists-data-from-a-real-world-cross-sectional-survey-of-physicians-and-their-patients-with-type-2-diabetes/</link>
					<comments>https://www.dssurgery.com/articles/reasons-for-discontinuation-of-glp1-receptor-agonists-data-from-a-real-world-cross-sectional-survey-of-physicians-and-their-patients-with-type-2-diabetes/#respond</comments>
		
		<dc:creator><![CDATA[Dr. Ara Keshishian]]></dc:creator>
		<pubDate>Wed, 30 Oct 2024 16:00:13 +0000</pubDate>
				<guid isPermaLink="false">https://www.dssurgery.com/?post_type=articles&#038;p=13556</guid>

					<description><![CDATA[<p>There are numerous complications with GLP-1 medications. Figure 2 outlines why so many patients have to stop these medications: &#160; DMSO-141235-reasons-for-discontinuation-of-glp-1-receptor-agonists&#8211;data_092917</p>
<p>The post <a href="https://www.dssurgery.com/articles/reasons-for-discontinuation-of-glp1-receptor-agonists-data-from-a-real-world-cross-sectional-survey-of-physicians-and-their-patients-with-type-2-diabetes/">Reasons for discontinuation of GLP1 receptor agonists: data from a real-world cross-sectional survey of physicians and their patients with type 2 diabetes</a> appeared first on <a href="https://www.dssurgery.com">DSSurgery</a>.</p>
]]></description>
										<content:encoded><![CDATA[There are numerous complications with GLP-1 medications. Figure 2 outlines why so many patients have to stop these medications:

<a href="https://www.dssurgery.com/wp-content/uploads/2024/10/Screenshot-2024-10-30-at-8.57.45 AM.png"><img decoding="async" class="alignnone size-full wp-image-13558" src="https://www.dssurgery.com/wp-content/uploads/2024/10/Screenshot-2024-10-30-at-8.57.45 AM.png" alt="" width="742" height="761" srcset="https://www.dssurgery.com/wp-content/uploads/2024/10/Screenshot-2024-10-30-at-8.57.45 AM.png 742w, https://www.dssurgery.com/wp-content/uploads/2024/10/Screenshot-2024-10-30-at-8.57.45 AM-293x300.png 293w, https://www.dssurgery.com/wp-content/uploads/2024/10/Screenshot-2024-10-30-at-8.57.45 AM-600x615.png 600w" sizes="(max-width: 742px) 100vw, 742px" /></a>

&nbsp;

<a href="https://www.dssurgery.com/wp-content/uploads/2024/10/DMSO-141235-reasons-for-discontinuation-of-glp-1-receptor-agonists-data_092917.pdf">DMSO-141235-reasons-for-discontinuation-of-glp-1-receptor-agonists&#8211;data_092917</a><p>The post <a href="https://www.dssurgery.com/articles/reasons-for-discontinuation-of-glp1-receptor-agonists-data-from-a-real-world-cross-sectional-survey-of-physicians-and-their-patients-with-type-2-diabetes/">Reasons for discontinuation of GLP1 receptor agonists: data from a real-world cross-sectional survey of physicians and their patients with type 2 diabetes</a> appeared first on <a href="https://www.dssurgery.com">DSSurgery</a>.</p>
]]></content:encoded>
					
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		<title>Managing the gastrointestinal side effects of GLP-1 receptor agonists in obesity: recommendations for clinical practice</title>
		<link>https://www.dssurgery.com/articles/managing-the-gastrointestinal-side-effects-of-glp-1-receptor-agonists-in-obesity-recommendations-for-clinical-practice/</link>
					<comments>https://www.dssurgery.com/articles/managing-the-gastrointestinal-side-effects-of-glp-1-receptor-agonists-in-obesity-recommendations-for-clinical-practice/#respond</comments>
		
		<dc:creator><![CDATA[Dr. Ara Keshishian]]></dc:creator>
		<pubDate>Fri, 25 Oct 2024 00:03:09 +0000</pubDate>
				<guid isPermaLink="false">https://www.dssurgery.com/?post_type=articles&#038;p=13544</guid>

					<description><![CDATA[<p>GLP-1 agonists have a wide and lasting complication on the GI tract specifically. Some are transient and dose-dependent, and others are long-lasting. &#160;</p>
<p>The post <a href="https://www.dssurgery.com/articles/managing-the-gastrointestinal-side-effects-of-glp-1-receptor-agonists-in-obesity-recommendations-for-clinical-practice/">Managing the gastrointestinal side effects of GLP-1 receptor agonists in obesity: recommendations for clinical practice</a> appeared first on <a href="https://www.dssurgery.com">DSSurgery</a>.</p>
]]></description>
										<content:encoded><![CDATA[GLP-1 agonists have a wide and lasting complication on the GI tract specifically. Some are transient and dose-dependent, and others are long-lasting.

<a href="https://www.dssurgery.com/wp-content/uploads/2024/10/Screenshot-2024-10-24-at-4.59.56 PM.png"><img loading="lazy" decoding="async" class="alignnone size-large wp-image-13546" src="https://www.dssurgery.com/wp-content/uploads/2024/10/Screenshot-2024-10-24-at-4.59.56 PM-1024x1013.png" alt="" width="1024" height="1013" srcset="https://www.dssurgery.com/wp-content/uploads/2024/10/Screenshot-2024-10-24-at-4.59.56 PM-1024x1013.png 1024w, https://www.dssurgery.com/wp-content/uploads/2024/10/Screenshot-2024-10-24-at-4.59.56 PM-300x297.png 300w, https://www.dssurgery.com/wp-content/uploads/2024/10/Screenshot-2024-10-24-at-4.59.56 PM-600x594.png 600w, https://www.dssurgery.com/wp-content/uploads/2024/10/Screenshot-2024-10-24-at-4.59.56 PM-100x100.png 100w, https://www.dssurgery.com/wp-content/uploads/2024/10/Screenshot-2024-10-24-at-4.59.56 PM.png 1364w" sizes="auto, (max-width: 1024px) 100vw, 1024px" /></a>

&nbsp;<p>The post <a href="https://www.dssurgery.com/articles/managing-the-gastrointestinal-side-effects-of-glp-1-receptor-agonists-in-obesity-recommendations-for-clinical-practice/">Managing the gastrointestinal side effects of GLP-1 receptor agonists in obesity: recommendations for clinical practice</a> appeared first on <a href="https://www.dssurgery.com">DSSurgery</a>.</p>
]]></content:encoded>
					
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		<title>GLP-1 agonists: A review for emergency clinicians</title>
		<link>https://www.dssurgery.com/articles/glp-1-agonists-a-review-for-emergency-clinicians/</link>
					<comments>https://www.dssurgery.com/articles/glp-1-agonists-a-review-for-emergency-clinicians/#respond</comments>
		
		<dc:creator><![CDATA[Dr. Ara Keshishian]]></dc:creator>
		<pubDate>Thu, 24 Oct 2024 23:51:28 +0000</pubDate>
				<guid isPermaLink="false">https://www.dssurgery.com/?post_type=articles&#038;p=13542</guid>

					<description><![CDATA[<p>GLP-1 Agosinsts have extensive and complex side effects and complications profile This table is from a large review publication for Emergency physicians dealing with the complications of GLP-1 agonist medication.</p>
<p>The post <a href="https://www.dssurgery.com/articles/glp-1-agonists-a-review-for-emergency-clinicians/">GLP-1 agonists: A review for emergency clinicians</a> appeared first on <a href="https://www.dssurgery.com">DSSurgery</a>.</p>
]]></description>
										<content:encoded><![CDATA[GLP-1 Agosinsts have extensive and complex side effects and complications profile <a href="https://www.sciencedirect.com/science/article/pii/S0735675724000111?ref=pdf_download&amp;fr=RR-2&amp;rr=8d7dd2987fdc2b7c" target="_blank" rel="noopener"><img loading="lazy" decoding="async" class="alignnone size-large wp-image-13543" src="https://www.dssurgery.com/wp-content/uploads/2024/10/Screenshot-2024-10-24-at-3.58.44 PM-1024x349.png" alt="" width="1024" height="349" srcset="https://www.dssurgery.com/wp-content/uploads/2024/10/Screenshot-2024-10-24-at-3.58.44 PM-1024x349.png 1024w, https://www.dssurgery.com/wp-content/uploads/2024/10/Screenshot-2024-10-24-at-3.58.44 PM-300x102.png 300w, https://www.dssurgery.com/wp-content/uploads/2024/10/Screenshot-2024-10-24-at-3.58.44 PM-600x205.png 600w, https://www.dssurgery.com/wp-content/uploads/2024/10/Screenshot-2024-10-24-at-3.58.44 PM.png 1284w" sizes="auto, (max-width: 1024px) 100vw, 1024px" /></a>

This table is from a<a href="https://www.sciencedirect.com/science/article/pii/S0735675724000111?ref=pdf_download&amp;fr=RR-2&amp;rr=8d7dd2987fdc2b7c" target="_blank" rel="noopener"> large review publication for Emergency physicians</a> dealing with the complications of GLP-1 agonist medication.<p>The post <a href="https://www.dssurgery.com/articles/glp-1-agonists-a-review-for-emergency-clinicians/">GLP-1 agonists: A review for emergency clinicians</a> appeared first on <a href="https://www.dssurgery.com">DSSurgery</a>.</p>
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		<title>Vitamin D3 Is More Potent Than Vitamin D2 in Humans</title>
		<link>https://www.dssurgery.com/articles/vitamin-d3-is-more-potent-than-vitamin-d2-in-humans/</link>
					<comments>https://www.dssurgery.com/articles/vitamin-d3-is-more-potent-than-vitamin-d2-in-humans/#respond</comments>
		
		<dc:creator><![CDATA[Dr. Ara Keshishian]]></dc:creator>
		<pubDate>Mon, 30 Aug 2021 18:24:40 +0000</pubDate>
				<guid isPermaLink="false">https://www.dssurgery.com/?post_type=articles&#038;p=10469</guid>

					<description><![CDATA[<p>The post <a href="https://www.dssurgery.com/articles/vitamin-d3-is-more-potent-than-vitamin-d2-in-humans/">Vitamin D3 Is More Potent Than Vitamin D2 in Humans</a> appeared first on <a href="https://www.dssurgery.com">DSSurgery</a>.</p>
]]></description>
										<content:encoded><![CDATA[<p>The post <a href="https://www.dssurgery.com/articles/vitamin-d3-is-more-potent-than-vitamin-d2-in-humans/">Vitamin D3 Is More Potent Than Vitamin D2 in Humans</a> appeared first on <a href="https://www.dssurgery.com">DSSurgery</a>.</p>
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		<title>Vitamin D Toxicity–A Clinical Perspective</title>
		<link>https://www.dssurgery.com/articles/vitamin-d-toxicity-a-clinical-perspective/</link>
					<comments>https://www.dssurgery.com/articles/vitamin-d-toxicity-a-clinical-perspective/#respond</comments>
		
		<dc:creator><![CDATA[Dr. Ara Keshishian]]></dc:creator>
		<pubDate>Mon, 08 Feb 2021 22:42:01 +0000</pubDate>
				<guid isPermaLink="false">https://www.dssurgery.com/?post_type=articles&#038;p=9846</guid>

					<description><![CDATA[<p>Vitamin D toxicity is rarely seen. This is even more so in post-weight loss surgical, duodenal switch patients.</p>
<p>The post <a href="https://www.dssurgery.com/articles/vitamin-d-toxicity-a-clinical-perspective/">Vitamin D Toxicity–A Clinical Perspective</a> appeared first on <a href="https://www.dssurgery.com">DSSurgery</a>.</p>
]]></description>
										<content:encoded><![CDATA[Vitamin D toxicity is rarely seen. This is even more so in post-weight loss surgical, duodenal switch patients.<p>The post <a href="https://www.dssurgery.com/articles/vitamin-d-toxicity-a-clinical-perspective/">Vitamin D Toxicity–A Clinical Perspective</a> appeared first on <a href="https://www.dssurgery.com">DSSurgery</a>.</p>
]]></content:encoded>
					
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			</item>
		<item>
		<title>Vitamin D Toxicity</title>
		<link>https://www.dssurgery.com/articles/vitamin-d-toxicity/</link>
					<comments>https://www.dssurgery.com/articles/vitamin-d-toxicity/#respond</comments>
		
		<dc:creator><![CDATA[Dr. Ara Keshishian]]></dc:creator>
		<pubDate>Mon, 08 Feb 2021 22:38:30 +0000</pubDate>
				<guid isPermaLink="false">https://www.dssurgery.com/?post_type=articles&#038;p=9844</guid>

					<description><![CDATA[<p>There are concerns with Vitamin D supplementations. However, some have also raised concerns about Vitamin D toxicity.</p>
<p>The post <a href="https://www.dssurgery.com/articles/vitamin-d-toxicity/">Vitamin D Toxicity</a> appeared first on <a href="https://www.dssurgery.com">DSSurgery</a>.</p>
]]></description>
										<content:encoded><![CDATA[There are concerns with Vitamin D supplementations. However, some have also raised concerns about Vitamin D toxicity.<p>The post <a href="https://www.dssurgery.com/articles/vitamin-d-toxicity/">Vitamin D Toxicity</a> appeared first on <a href="https://www.dssurgery.com">DSSurgery</a>.</p>
]]></content:encoded>
					
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