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Highly concentrated plasma contains platelets that release growth factors

Prospective data from the Longitudinal Assessment of Bariatric Surgery (LABS) Study [113] and the Dutch Audit for Treatment of Obesity (DATO) registry [114] show wide interindividual variation in post-surgical trajectories despite comparable procedures, highlighting the need for psychological risk stratification

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Of note, all AE outcomes were severe, including dulaglutide: ketoacidosis (n = 58), marasmus (n = 17), hyperglycaemic hyperosmolar nonketotic syndrome (n = 12), diabetic ketosis (n = 4)