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Over time, Ca 2+ influx eventually failed to produce exocytosis suggesting that the readily-releasable pool can be depleted

Diabetes 47(11):16631670 Jeng C-J, Hsieh Y-T, Yang C-M, Yang C-H, Lin C-L, Wang I-J (2018) Diabetic retinopathy in patients with dyslipidemia: development and progression
And in addition to long-term weight loss, bariatric surgery was also linked to reduction in cardiovascular events, reduced overall and female cancer, prevention of diabetes and diabetes complications, diabetes remission, and reduction in end-stage renal disease (ESRD) and chronic kidney disease (CKD)

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Thats when you can evaluate which areas need surgical or nonsurgical treatment. For those deciding between surgical and nonsurgical options, the choice depends on the size of the area and the patients goals
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