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Standardized waist circumference assessments were made at randomization, then every 4 weeks

Hepprich M, Wiedemann SJ, Schelker BL et al (2020) Postprandial hypoglycemia in patients after gastric bypass surgery is mediated by glucose-induced IL-1

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So we start with one quarter of a dose

Ignoring persistent symptoms can lead to complications, especially if the underlying cause is an infection or another serious health issue