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Doctors sometimes recommend ESG for patients who: cannot tolerate GLP-1 medications experienced limited weight loss from medication therapy prefer a non-surgical alternative to bariatric surgery At EndoSlim Clinic NY , specialists evaluate each patient individually before recommending a procedure

The addition of oligofructose as a prebiotic to the diet in ob/ob mice significantly increases plasma GLP-1, colonic L cell abundance, and colon proglucagon mRNA levels 73,74 , and GLP-2R antagonism blunts the anti-inflammatory effects of this prebiotic treatment 73

Severe Side Effects : Less common, but they can include issues like pancreatitis, gallbladder problems, and allergic reactions

Incorporate small, protein-dense foods (e.g., Greek yogurt, eggs, cottage cheese)