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Creatine also helps you maintain strength during a calorie deficit, which is critical

Dietary modifications significantly reduce gastrointestinal symptoms: Eat smaller portions distributed throughout the day Choose lean proteins and complex carbohydrates Avoid high-fat, spicy, or heavily seasoned foods Stop eating when feeling satisfied, not full Separate liquid consumption from meals by 30 minutes Timing strategies help minimize discomfort

This effect helps prevent overeating but can affect gut motility

Importantly, the textbook has been aligned with the American Board of Surgerys Metabolic and Bariatric Surgery Focused Practice Designation (FPD) blueprint, making it a valuable study resource for surgeons pursuing certification as well as a practical reference for practicing clinicians, fellows, residents, and our multidisciplinary colleagues