The more things get rerouted, the bigger the hormone response: Band barely changes anything and doesnt do much hormonally Sleeve speeds things up and gives a moderate boost Bypass sends food straight to the GLP-1 zone for a bigger effect DS/SADI-S basically does everything at once and hits the hardest
Pflgers Archiv, 369(3):241-243
Gene expression modulation influences thousands of genes related to growth, repair, and metabolic regulation
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For example, GLP-1RAs may modulate the CD36-JNK-AP1 pathway by partially down-regulating prolyl 4-hydroxylase subunit alpha-1 (P4HA1), and then inhibit ROS production mediated by Ang II type I receptor, thereby ameliorating cardiac fibroblast proliferation and myocardial fibrosis [167, 168]
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