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Each surgical option aims to promote substantial weight reduction, address obesity-related health conditions, and significantly improve patients overall quality of life

This happens because thyroid hormone replacement doesn't always fully restore normal metabolic rates, and leptin resistancea condition linked to low thyroid functioncan persist

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The microbiota determines susceptibility to experimental autoimmune uveoretinitis

Additionally, repeated use and withdrawal can result in persistent overactivation of the HPA axis, causing elevated cortisol levels and disrupted negative feedback mechanisms 68,69,70,71