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The essential role of pancreatic -cells in maternal metabolic adaptation to pregnancy

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however, several hypotheses informed largely by evidence from related GLP-1 receptor agonist classes have been proposed: Weight loss-mediated reduction in vascular resistance , as excess adiposity is a well-established driver of hypertension

The switch is likely due to the fact that VSG is surgically more simplistic, leads to fewer long-term malabsorptive issues, and although dogma persists that it is less effective, randomized clinical trials demonstrate similar efficacy between VSG and RYGB (see Ref

doi: 10.1080/09637486.2021.1979478

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