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not losing weight on highest dose of semaglutide

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Physiologically, RYGB improves glycaemic control and gut hormone responses (GLP-1 and pancreatic polypeptide) post-operatively compared to LAGB [21]

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These include sirtuins, poly(ADP-ribose) polymerases (PARPs), and cyclic ADP-ribosegenerating enzymes involved in DNA repair, chromatin regulation, and calcium signalling

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