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Metabolic surgery has also been found to alter production of gut hormones and may cause changes in the gut microbiome, thereby affecting signaling pathways related to appetite, glycemic control, and inflammation (Xu 2021
Weakness and fatigue- Weakness and fatigue could be due to any health problem like diabetes, heart disease or anaemia
231,232,233 However, it has been determined that while improving stability, PS modification can induce inflammatory responses and produce hepatotoxic effects
Serotonin syndrome (too much serotonin in the body) due to drug interactions with other serotonergic drugs such as tricyclic antidepressants, monoamine oxidase inhibitors (MAOIs), selective serotonin reuptake inhibitors (SSRIs), serotonin norepinephrine reuptake inhibitors (SNRIs), lithium, triptans, fentanyl, tramadol, buspirone, tryptophan, and St
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