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Louisiana residents appreciate that this is not another untested fad but a program built on reliable evidence
A 2019 study in Surgery for Obesity and Related Diseases (Ciangura et al.) tracked menstrual changes in 240 women post-gastric bypass and found 68% reported heavier or irregular periods in months 2 to 6 post-surgery, with normalization by month 9 to 12 as weight loss plateaued
With the overload supply of metabolic substrates, excessive fat accumulates in the hepatocytes, accompanied by gradual generation of potential toxic lipid species and the progressive increase in de novo lipogenesis (DNL) in NAFLD (117)
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