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1.2 Etiology and mechanisms Postprandial Hypoglycaemia (PPHG), also known as post-bariatric hypoglycaemia (PBH) when it occurs after bariatric surgery, is a condition where blood glucose levels drop excessively after eating [22, 23].This complex condition arises from a combination of factors, rather than a single cause, and involves a variety of interacting mechanisms that are still being investigated [23, 24]