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Blau JE, Bauman V, Conway EM, Piaggi P, Walter MF, Wright EC, et al

Noninsulin-dependent glucose disposal (glucose effectiveness), measured during intravenous GTT, is greater in patients with post-RYGB hypoglycemia compared with asymptomatic post-RYGB individuals (40), potentially contributing to enhancing tissue glucose uptake even at times when insulin levels and/or action are not increased

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Emerging data on tirzepatide transfer into human milk (study under review)

Persistent or worsening fatigue despite treatment warrants medical review to investigate other potential causes such as anaemia, thyroid disorders, sleep apnoea, depression, or medication side effects