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The ominous octet (Defronzo model) includes: decreased muscle glucose uptake, increased hepatic glucose output, impaired incretin effect, alpha-cell hyperglucagonemia, increased renal glucose reabsorption (SGLT-2 upregulation), increased lipolysis (adipose), decreased central satiety signaling, and decreased beta-cell insulin secretion

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Systemic symptoms such as fever, chills, or malaise following injection warrant immediate medical evaluation

Because the absorptive anatomy is preserved after LAGB, routine prophylactic B12 injections are not standard practice for all gastric banding patients

Your responses will help determine the most appropriate program and ensure it aligns with your health history and weight loss goals