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Sleep quality, stress levels, and nutritional adequacy function as modulators of GLP-1 receptor sensitivity: poor sleep and chronic stress paradoxically reduce appetite suppression effectiveness, while adequate protein intake (0.8 grams per pound of goal body weight) preserves lean mass during rapid weight loss

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Metformin remains the first-line oral agent for most patients with type 2 diabetes, unless contraindicated, and should be continued alongside any alternative therapy unless there are specific reasons for discontinuation, as recommended by NICE

However, an equally important aspect that can influence the outcome of surgery is the preparation leading up to it

Do not freeze, and protect it from light