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The attraction of certain foods decreases after RYGB (60) and appetite may be altered by enteroendocrine secretion (61, 62)
We recommend keeping a symptom diary during the first month to identify patterns and triggers
GIP receptor activation enhances the insulin response beyond what GLP-1 alone achieves
Some individuals who are highly sensitive to neuroactive peptides may prefer to begin slightly lower (100150 mcg) for the first few doses to assess tolerance before moving to the full protocol
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