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Improvement in glucose sensitivity following BS occurs independently of weight loss and varies by procedure type, with both RYGB and VSG enhancing hepatic insulin sensitivity

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So the key question becomes less Does endometriosis make the pill fail? and more: Do GLP1 drugs create conditions (GI side effects, timing issues, possibly reduced exposure to oral drugs) that make the pill harder to use perfectly

This helps the body get used to the medicine and lowers the chance of side effects like nausea or upset stomach