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In a recent sham-controlled, randomised clinical trial of patients with refractory gastroparesis (41% had diabetes), G-POEM achieved symptomatic improvement in 71% of participants compared with 22% following the sham procedure [80]

Garlic butter shrimp with spinach Protein: 32g per serving Saute eight ounces of shrimp in a teaspoon of butter with four cloves of minced garlic for 3 minutes per side

It has the longer safety record with cardiovascular outcomes data now extending beyond 5 years and is widely available

Obes Rev (2017) 18(1):8698.10.1111/obr.12465 96 ChristensenMVedtofteLHolstJJVilsbollTKnopFK

Storage 4C, protect from light * In solvent : -80C, 6 months

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