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P., & Triplitt, C

this effect results from a broad range of effects on appetite, weight, palatability, and the reward-seeking pathway in the central nervous system

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Furthermore, all of these questionnaires are thought to lack sensitivity to treatment interventions, indicating the need for a specific patient-reported outcome questionnaire to be developed for dumping syndrome

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Probiotics have consistently been shown to reduce liver enzyme levels (e.g., ALT, AST) in MASLD patients, but improvements in liver histology like inflammation, fibrosis, or steatosis have not been demonstrated in biopsy-confirmed settings