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Key findings: Incidental parathyroidectomy and postoperative hypoparathyroidism were strong predictors Hypocalcemia was associated with longer operative duration and increased length of stay These findings highlight the importance of preserving parathyroid function and early risk stratification and reduce healthcare burden

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Along with food intake and dietary habits, many factors are directly associated with gut microbial perturbation and body weight in obese individuals compared to lean individuals

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