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The plasma phosphate decreased by 0.3 mmol/l (-0.5--0.2; p less then 0.001) secondary to a 56% increase in the fractional urinary phosphate excretion (p less then 0.001). This was associated with a significant increase in serum intact FGF23 (+30%; p less then 0.001) and a decrease in serum 1,25(OH)2 vitamin D3 concentrations (-37.6%; p less then 0.001). CONCLUSION Patients with previous bariatric surgery receiving FCM are at considerable risk of developing significant hypophosphatemia secondary to increased renal phosphate wast
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