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Scientific interest has focused on how combined receptor activity may affect appetite signaling, energy balance, glucose regulation, insulin-related pathways, and lipid metabolism
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Additionally, altered bile acid metabolism and elevated levels of fibroblast growth factor 19 (FGF19) are implicated in the etiology of PPHG [25, 30].These substances are involved in glucose and lipid regulation, and changes in their concentrations following surgery may affect the development of hypoglycaemia [31].The parasympathetic nervous system (PNS) may also contribute
