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The sleeve is simpler, without intestinal rerouting, and carries a lower risk of vitamin deficiencies, but may worsen reflux

The resulting decline in SCFAs, particularly butyrate, diminishes activation of FFAR2/FFAR3 receptors on enteroendocrine L-cells and lowers GLP-1 secretion

Its meant to be somewhere relatively low in bacterial density so that the absorption of nutrients and digestion can happen efficiently

Mol Med Rep 14:43604366

The authors concluded that long-term intake of copper can be excluded as a causative factor in AD and may in fact be protective [28]

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