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Imam TH (2017) Changes in metformin use in chronic kidney disease

However, the use of continuous glucose monitoring (CGM) has highlighted that hypoglycemia occurs much more frequently (closer to 30%) and is observed with similar frequency in both RYGB and VSG (23, 177, 230)
In addition, shifts in digestion may change how the gut creates certain byproducts, which can travel into the bloodstream and then into urine
