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The most likely explanation involves indirect mechanisms, particularly dehydration and electrolyte imbalances resulting from common gastrointestinal side effects like nausea, vomiting, and diarrhoea

The commonly observed increase in GLP-1 after bariatric surgery [[211], [212], [213], [214], [215], [216]] is considered a causal factor leading to increased circulating levels of insulin after the surgery

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In healthy people, cortisol levels are highest in the early morning and lowest around midnight (Figure 1)