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So that's a recycle process

Distinctive microbiomes and metabolites linked with weight loss after gastric bypass, but not gastric banding
doi: 10.3945/ajcn.111.019489

[DOI] [PubMed] [Google Scholar] 22.Sekhar R.V., McKay S.V., Patel S.G., Guthikonda A.P., Reddy V.T., Balasubramanyam A., Jahoor F

These include reduced GHRH or ghrelin secretion, greater somatostatin inhibition, greater somatotroph sensitivity to IGF-I feedback, reduced pituitary responsiveness to GHRH, and reduced pituitary or hypothalamic responsiveness to ghrelin
