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Focus on: Portion control : Use smaller plates and measure servings to prevent overeating as appetite returns Low glycaemic index foods : Choose wholegrain carbohydrates, legumes, and non-starchy vegetables to minimise blood sugar spikes Protein and fibre : Include adequate protein and fibre at each meal to promote satiety Regular meal timing : Eat at consistent times to help regulate blood sugar and manage hunger Mindful eating : Pay attention to hunger and fullness cues, eating slowly and without distractions Physical activity plays a vital role in maintaining both weight loss and glycaemic control

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Greater insulinotropic action of oral glucose relative to its peripheral administration was demonstrated for both normal weight and obese individuals [63] and henceforth became known as the incretin effect [64,65]

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Treatment history and rationale guide decision-making