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Significant weight fluctuations after surgery, particularly body contouring procedures such as liposuction, tummy tucks, or breast surgeries, can alter the results and may necessitate additional procedures

doi:10.1177/000348949110000809

Exendin-4 is similar to a hormone found in humans called GLP-1, which is released after eating and is important for controlling blood sugar levels in humans

Depression involves mood changes and emotional withdrawal

Metformin has a known GI effect that tends toward looser stools in some patients, which can partially offset GLP-1-related constipation