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However, as demonstrated in that same report, concomitant administration of exendin9-39 and a DPP-4 inhibitor increased food intake by ∼20%, suggesting that GLP-1, when potentially acting in concert with other gut hormones, might have an important role in the metabolic benefits achieved by bariatric surgery [224]

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Additionally, any symptoms of severe gastroparesis or intestinal obstruction (severe abdominal pain, persistent vomiting, or inability to tolerate oral intake) warrant immediate medical evaluation

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