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Despite these promising findings, DSIP remains largely experimental, with formal clinical approval, standardized dosing, and long-term safety data still lacking
Moreover, the hyperhomocysteinemia associated with an increased cardiovascular risk is stronger in non-insulin-dependent diabetes mellitus than in normal subjects (Hoogeveen et al, 1998)
Long-term nutritional follow-up is a cornerstone of safe post-bariatric care, and patients who have undergone gastric sleeve surgery should regard ongoing monitoring not as optional, but as an integral part of their surgical outcome
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