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It might be because of fewer platelets made in the bone marrow, more platelets being removed, or because of spleen or liver issues
Gastrectomy with Roux-en-Y reconstruction as a lean model of bariatric surgery
The scientific rationale behind each ingredient is sound, though the resistant starch dose falls below what clinical studies used, and the overall evidence base is limited compared to pharmaceutical GLP-1 agonists
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Gong T, Liu L, Jiang W, Zhou R
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