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These effects are mediated through weight loss, enhanced insulin sensitivity, and direct hepatic actions such as activation of adenosine AMPK, which contributes to reduced hepatic lipid accumulation [247249]

Doctors sometimes recommend ESG for patients who: cannot tolerate GLP-1 medications experienced limited weight loss from medication therapy prefer a non-surgical alternative to bariatric surgery At EndoSlim Clinic NY , specialists evaluate each patient individually before recommending a procedure

[DOI] [PubMed] [Google Scholar] 81.Makrilia N, Kollias A, Manolopoulos L, Syrigos K

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