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Dietary modifications that may influence GLP-1 secretion include: Protein-rich foods : Dietary protein can stimulate GLP-1 release

This usually reflects the combination of surgical adaptation and GLP-1's natural effects on gastric motility rather than a contraindication

These patients may display subtle metabolic abnormalities insulin resistance, dyslipidemia, or visceral adiposity despite appearing lean. Clinical markers such as waist circumference, hepatic imaging findings, and elevated liver enzymes (ALT/AST) should prompt further evaluation even when BMI is below 25 kg/m

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