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It can be characterised by painful swallowing

Different mechanisms have been proposed as underlying causes of hypoglycemia post-bariatric surgery

However, clinical trials have shown minimal hypoglycemia with alpha-cell-targeting incretin therapies, likely because they reduce glucagon in a glucose-dependent manner

J Extracell Vesicles 8(1):1596016 Benck CJ, Martinov T, Fife BT, Chatterjea D (2016) Isolation of infiltrating leukocytes from mouse skin using enzymatic digest and gradient separation

This inconsistency sometimes leads people to think the medication has stopped working when the issue is actually variable absorption from inconsistent technique