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Study is needed to elucidate the pathophysiology to further understand why most patients have no hypoglycemia after gastric bypass, some have mild to moderate PGBH, and a small percentage have severe PGBH with debilitating neuroglycopenia unresponsive to dietary changes and medications
Yet, few cases of kidney injury were reported in patients with a history of moderate to severe renal impairment
Calocurb may also be useful as a plant-based alternative that still supports appetite control when paired with the right lifestyle strategies
Both are dominated by dose-related gastrointestinal effects (nausea, diarrhea, constipation)
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