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Some individuals who develop PPHG may have had greater insulin sensitivity prior to surgery [31]
Therefore, in T1DM, because of the lack of portal insulin levels, the liver stops producing enough IGF-1, which is followed by a compensatory rise in GH levels
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Think of it like keeping your tank topped up
It may also cause whole undigested pieces of food to move into your intestines, which can be painful and difficult to pass through a bowel movement
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