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What the science actually says Here is where the marketing and the evidence part ways: Metabolism

meaning that animal studies have shown some adverse effect or there are no well-controlled studies in humans, but potential benefits may warrant use despite potential risks

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This can occur due to various factors including: Stomach stretching over time, allowing increased food intake Metabolic adaptation , where the body adjusts to lower calorie intake Behavioural factors , such as return to previous eating patterns Hormonal changes that may affect appetite regulation For patients experiencing inadequate weight loss or significant weight regain after gastric sleeve, GLP-1 receptor agonists may provide additional support