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The ability of these medications to modulate appetite and energy expenditurepartly through delayed gastric emptying [25] and enhanced central satiety signaling [26]may account for these favorable outcomes

[1] [4] This mechanism leads to improved fasting and postprandial glucose levels , which become evident in both point-of-care glucose measurements and HbA1c testing

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However, there are significant financial and physiological barriers to getting bariatric surgery, making it an out-of-reach option for many patients