Metabolic means that patients in this group lose weight by altering their intestinal systems and by doing so, there is a modification to the patient's physiological reaction to fat loss (14 ). Metabolic surgery lead to a modification in the secretion of the gut hormones (14 ). This modification in the gut hormones results in a reduction of cravings

Metabolic ways that clients in this group reduce weight by modifying their intestinal tracts and by doing so, there is a change to the patient's physiological action to fat loss (14 ). Metabolic surgery results in a change in the secretion of the gut hormonal agents (14 ). This modification in the gut hormonal agents lead to a decrease of appetite,

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