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The drug bypasses your digestive system entirely

However, there is some controversy about whether symptoms of dumping syndrome after bariatric surgery can be useful for the patients awareness of unwanted food effects and hence contribute to the weight loss (statement 17) 11,55,60

To maintain the benefits over time, you'll need maintenance sessions and healthy lifestyle choices

Many patients continue with maintenance protocols at reduced frequency to sustain benefits

It's kind of surreal how well this works. Alexander M