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Second , we can do further tests: Antibodies against intrinsic factor (IFAB): these are specific for PA and make the diagnosis

F., Benedik, M

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Effect of acarbose, pectin, a combination of acarbose with pectin, and placebo on postprandial reactive hypoglycaemia after gastric surgery

7 That said, a mechanism that keeps the stomach fuller for longer warrants caution in people with pre-existing gastroparesis or motility disorders, and it is a theoretical consideration before procedures requiring an empty stomach

It does not stimulate insulin secretion, so it carries minimal hypoglycaemia risk on its own