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These outcomes were made possible by a combination of medical supervision, educational materials, and lifestyle modifications, including a structured exercise routine

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EDS symptoms arise 1030 min post-meal due to rapid food transit which increases intestinal osmolarity and shifts fluid from intravascular compartment to the gut, causing abdominal discomfort, nausea, and vasomotor symptoms such as sweating, palpitation, flushing, dizziness and rarely syncope without hypoglycemia [44]

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