Metabolic means that patients in this group drop weight by altering their intestinal systems and by doing so, there is a modification to the patient's physiological action to fat loss (14 ). Metabolic surgery lead to a change in the secretion of the gut hormones (14 ). This change in the gut hormones lead to a decrease of appetite, which further as

Metabolic methods that patients in this group reduce weight by changing their gastrointestinal tracts and by doing so, there is a change to the patient's physiological action to weight loss (14 ). Metabolic surgical treatment results in a modification in the secretion of the gut hormones (14 ). This change in the gut hormonal agents results in a de

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