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Address: Vital Keto Patients can develop abdominal bloating, ache, vomiting, sweating, rapid heart rate, stomach cramps, fatigue, light headedness or diarrhea. Since with the RNY Gastric Bypass the majority of the belly isn't always being used and a new, small pouch that directly connects to the small intestine is created, there may be dumping. https://www.fitnessway.org/vital-keto/