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Long-term side effects may include: Dumping syndrome Digestive discomfort Vitamin and mineral deficiencies Gallstones Permanent changes in food tolerance and digestion Because digestion and nutrient absorption are permanently altered after many bariatric procedures, long-term supplementation and nutrition monitoring usually become lifelong priorities

Overall, GLP-1 RAs appear to be more efficacious than DPP4 inhibitors in people with type 2 diabetes in terms of improving glycaemic control and reducing body weight ( Yet another aspect to consider is the recurring theme of precision medicine