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doi: 10.1016/j.bjid.2015.06.001 37 BromuroC.RomanoM.ChianiP.BertiF.TontiniM.ProiettiD.et al

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4 Discussion This study shows that long-term WR after RYGB is associated with elevated fasting glucose, insulin resistance, and a blunted postprandial GLP-1 response alongside an exaggerated GIP response

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41 The review highlighted several limitations in the included trials, including high risk of bias, outcome heterogeneity, and different types of probiotics used