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Conversely, unresponsive patients show minimal changes in outcomes, suggesting that factors beyond L- carnitine adequacy may contribute to their unresponsiveness
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Some medicines, particularly those affecting gastric pH or gut motility, may require special consideration
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This can lead to: Reduced effectiveness Less predictable results The need for closer monitoring For this reason, injectable GLP-1 medications are often preferred after bariatric surgery, since they do not depend on the altered digestive pathway
This system regulates disulfide bond formation, redox-sensitive transcription factors, and apoptosis
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![Physiologic effects of GLP-1 (adapted from Granata et al. [11])](https://www.researchgate.net/publication/359199250/figure/fig1/AS:11431281081130351@1661532031197/Physiologic-effects-of-GLP-1-adapted-from-Granata-et-al-11.png)
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