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Weight loss journeys change over time
Conversely, insulin sensitivity, evaluated by Homeostatic Model Assessment (HOMA) index, was reduced after 6 months, but returned to pre-surgery values after 12 months, suggesting that sympathetic deactivation induced by weight loss might not influence insulin sensitivity (Seravalle et al., 2014)
But it also activates GIP (glucose-dependent insulinotropic polypeptide) receptors
This means using a different site from the three preferred ones each week
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