Patients reported to the laboratory before the operation and 68 months after the operation to receive in random order, on separate days, after fasting overnight for at least 10 h, 300 ml of orange juice (containing 27 g of carbohydrate sugar) supplemented with either 25 g oligofructose-enriched inulin (inulin, OraftiSynergy1, ~92% inulin content, BENEO GmbH, Mannheim, Germany), or an equicaloric load of 15.5 g maltodextrin (MDX, Nutricia GmbH, Erlangen, Germany, see Supplemental Table 1)
It is recommended but not required
BMI is a number calculated from your height and weight
L- ,
Both high-dose options deliver approximately 20% or more average weight loss, representing a significant achievement for sustainable weight loss