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Nevertheless, it was demonstrated that inadequate weight loss after BS is often associated with increased appetite and an unfavorable postoperative gut hormone profile, including reduced circulating GLP-1 levels [25, 26]
This is partly because the body now requires fewer calories to maintain a lower weight, a phenomenon sometimes referred to as metabolic adaptation
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Historically, covering only these indications would limit the availability of rebates, which discouraged some employers from offering coverage for newer indications unless they also covered the broader obesity indication
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