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It may mean the pace of escalation is too aggressive, the patients nutrition is not keeping up, or constipation and hydration need to be addressed first

Springer Series on Polymer and Composite Materials117

They may give you a self-assessment questionnaire called the Dumping Symptom Rating Scale that scores your symptoms to determine how severe they are

Rapid weight loss from any cause reduces volume in these tissues just as it does elsewhere in the body

This makes it easier for your body to access fat stores and use them for energy, giving you a metabolic edge in your weight loss journey

Yamaguchi Y, Brenner M, Hearing VJ: The regulation of skin pigmentation