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Cell Metabolism , 21(3):443454

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It can make it hard to focus, make you grumpy, and lower how well you do at work or school

Weight loss expectations differ from surgery-alone outcomes: most post-bypass patients stabilize or regain 10-30% of their initial loss by year 5, while adding GLP-1 typically extends or deepens loss by another 5-15%

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11.2 What GLP-1 Therapy Does Change GLP-1 receptor agonists consistently: Reduce caloric intake Narrow food volume Alter dietary patterns Increase early satiety Promote rapid weight loss in responders These behavioural and physiological changes shift nutritional exposure