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The point is simply explained

Conclusion The purpose of this scoping review was to review existing literature on GLP-1 RMs in the management of dumping syndrome, a significant cause of morbidity and impaired quality of life for patients who experience this complication after MBS

doi: 10.1016/j.cmet.2017.07.009

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But while generic versions could have been introduced in Canada earlier this year, so far, they havent appeared