SLEEVE vs BYPASS vs GHRELIN
After 'gastric bypass' fasting ghrelin (appetite stimulating hormone) is normal. But there is enhanced ghrelin suppression after food intake.
After 'sleeve gastrectomy' fasting ghrelin is four fold reduced. There is post-prandial ghrelin suppression but less than after gastric bypass.
We are responsible not only for what we do, but also for what we could have
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