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doi: 10.1007/s40121-024-01062-6 171 LynchSCohenRMKavanaghMSharmaARaphaelYPillayYet al

These non-glucose substrates may still be relevant to IR pathogenesis because hepatic fructose and galactose can feed gluconeogenic and lipogenic pathways, and because fructose-derived intermediates can intersect with core glycolytic and pentose-phosphate fluxes

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Nutritional deficiencies are largely preventable with appropriate monitoring and supplementation, and proactive management supports both long-term health and quality of life after gastric banding

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So I would say still addressing the histamines, addressing the nervous system