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Several studies evaluated the ingestion of up to 15 g of guar gum or pectin with each meal to slow gastric emptying, reduce the release of gastrointestinal hormones, improve hyperglycaemia and control symptoms of dumping syndrome 45,100,101,102,103,104,105,106

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Severe pancreatitis history, uncontrolled diabetic retinopathy, or end-stage renal disease also preclude semaglutide use

Acknowledgements We thank the Fondazione Romeo e Enrica Invernizzi for extraordinary support

They review your BMI, medical history, and objectives to design a personalized treatment plan