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ANATOMIC AND SURGICAL FACTORS When it comes to anatomical factors involved in WR, a GG fistula formation occurs between the gastric pouch and the excluded stomach and its incidence rate is 1% among RYGB patients, causing weight plateau and recurrence of T2D [72]
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They alter endocrine signaling, which can affect insulin sensitivity, cortisol levels, prolactin and long-term hormonal balance
Ongoing support is another factor
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