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The increased delivery of BAs to the distal L cells and the altered GPBAR1 receptor activation, however, do not seem to play a master role in the early increases in the intestinal secretion of GLP1 and PYY, as seen after other procedures of bariatric surgery (156163)

Reiter J, Levina N, van der Linden M, Gruhlke M, Martin C, Slusarenko AJ

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In addition, all patients with NAFLD should be vaccinated for hepatitis A and B to minimize risk of additional hepatic injury

Therefore, immune balance is disrupted, leading to the progression of inflammation into disease