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This study found that the insulin surge following the meal was blunted with the administration of the GLP-1 antagonist, suggesting that GLP-1 plays an important role in the exaggerated insulin response seen in post-prandial hypoglycemia in children who had undergone a fundoplication ( GLP-1 in Post-Prandial Hypoglycemia Following Bariatric Surgery A similar phenomenon of post-prandial hyperinsulinemic hypoglycemia is seen in adult patients after weight loss procedures, gastrectomy and Roux-en-Y gastric bypass, in particular

Liraglutide enhances insulin secretion and prolongs the remission period in adults with newly diagnosed type 1 diabetes (the NewLira study): A randomized, double-blind, placebo-controlled trial

Exercise also counts, but it's not what REALLY moves the needle

In fasting conditions, investigations of how the cortisol axis is affected by overweight or obesity have shown highly inconsistent results [23]