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Both are biologically plausible, and both have limited supportive human evidence

The with prior cholecystectomy group had higher glucose values at minute 30, and lower ones at minute 90 than the without prior cholecystectomy group, reflecting the significantly higher insulin levels at minutes 60 and 90, which thus explains the larger degree of glycemic variability in this group

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Say to their patients, when diagnosed, look, you could do it this way

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