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Proceed as usual if the patient has no GI symptoms and they discontinued GLP-1s

I have to remind myself to eat

Metabolic surgery has also been found to alter production of gut hormones and may cause changes in the gut microbiome, thereby affecting signaling pathways related to appetite, glycemic control, and inflammation (Xu 2021

Glucose-dependent insulin and glucagon secretion Semaglutide lowered high blood glucose concentrations by stimulating insulin secretion and lowering glucagon secretion in a glucose-dependent manner

Cicek N, Eryilmaz OG, Sarikaya E, Gulerman C, Genc Y

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