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It works by stimulating both alpha and beta adrenergic receptors in the body

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10.1111/j.1365-3040.2009.02041.x 26 MoatA

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Lincoffs comment is important, as the growth and refinement of bariatric (metabolic) surgery over the past 30 years has resulted in significant gains for many patients, not just in life span and quality of life but also in reversal of diabetes and reduction of diabetes risk as well as compelling evidence suggesting cardiovascular benefits

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