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This working group stated that assessed under real-life conditions, post-RYGB hypoglycaemia was found more frequently than expected by CGM

Pregnancy planning, breastfeeding, gastroparesis (delayed stomach emptying), pancreatitis history, and complex medication regimens all deserve clinician review

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Rondanelli M, Perna S, Riva A, Petrangolini G, Di Paolo E, Gasparri C

The body therefore tends to preserve fat stores while trimming unneeded muscle mass unless regular exercise signals that muscle remains necessary and adequate protein intake supports its maintenance