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Hartmann P, American Journal of Physiology Gastrointestinal and Liver Physiology (Vol 329, Issue 6, Dec 1, 2025, pp G680G695)

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We further restricted our cohort to non-diabetic, obese men by excluding men with a prior diabetes mellitus diagnosis, a hemoglobin A1c>6.5%, or having ever received insulin or metformin

Rapid changes in blood sugar levels may trigger nausea

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