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Tirzepatide does not prevent this metabolic adaptation entirely, but the degree of slowdown may be less than with diet-only weight loss

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"The beneficial effect of BPC 157, a 15 amino acid peptide BPC fragment, on gastric and duodenal lesions induced by restraint stress, cysteamine, and 96% ethanol in rats." Journal of Physiology Paris

The different surgical methods will also affect the serum VitB concentration of patients, which may be related to the difference in the scope of surgery, the time required for postoperative recovery and the different effects on postoperative life, resulting in changes in vitamin metabolism of the body