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"In this study, we've demonstrated in vivo that serotonin administration in mice was able to induce hypoglycaemia by increasing the endogenous secretion of insulin and GLP-1." Thus, the results suggest that the post-meal increase in serotonin observed in individuals with post-bariatric hypoglycaemia may contribute to the increase in insulin secretion and, consequently, the development of hypoglycaemia and symptoms such as dizziness, tremors and mental confusion

For someone weighing 150 kilograms, that could mean losing 45 to 60 kilograms

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