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A less invasive bariatric surgery is the adjustable gastric band (AGB), which involves placing an inflatable silicon band around the stomach near the esophageal junction

That is not a like-for-like evidence comparison, and the asymmetry itself is the finding

In a manner similar to that observed in liver, the accumulation of intramyocellular DAG impairs insulin signaling and muscle glucose uptake by activating PKC (muscle-type nPKC) [112,113], which elicits the phosphorylation of IRS-1 at Ser1101 and blocks the insulin-stimulated phosphorylation of IRS-1 [114,115]

Regular, moderate exercise is beneficial, but avoid sudden increases in intensity or duration that may overload muscles

Lancet 402(10403):720730 Fares S, Barajas-Gamboa JS, Diaz Del Gobbo G et al (2023) Safety and efficacy of metabolic surgery in patients with type 2 diabetes in the middle east and north Africa Region: an analysis of primary Roux-en-Y Gastric bypass and sleeve gastrectomy outcomes