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Background Postprandial hypoglycemia (PH) is a significant complication following upper gastrointestinal (GI) surgery, characterized by postprandial glucose fluctuations and diverse clinical manifestations

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The first cohort included 6696 patients who started GLP-1 receptor agonists and added on SGLT-2 inhibitors, and the second included 8942 patients who started SGLT-2 inhibitors and added on GLP-1 receptor agonists

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