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This can occur due to various factors including: Stomach stretching over time, allowing increased food intake Metabolic adaptation , where the body adjusts to lower calorie intake Behavioural factors , such as return to previous eating patterns Hormonal changes that may affect appetite regulation For patients experiencing inadequate weight loss or significant weight regain after gastric sleeve, GLP-1 receptor agonists may provide additional support

There is no certain time for use

Glutathione is rapidly oxidized in the gastrointestinal tract, making standard forms difficult to absorb and use effectively

While routine screening ultrasound is not recommended for asymptomatic patients, those with multiple risk factors warrant counseling about symptoms and potentially closer monitoring