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TRT helped my energy but didnt fix the 3pm brain fog or the difficulty concentrating during long procedures

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In individuals with acquired hyperinsulinemic hypoglycemia after gastrointestinal surgery, including Nissen fundoplication and gastric bypass surgery, the incretin response to a meal is markedly increased and antagonism of the GLP-1 receptor prevents the hyperinsulinemic response

For the secondary outcomes, the hazard ratios were below the null value for myocardial infarction, ischaemic stroke, cardiovascular mortality, heart failure, and all cause mortality, but with wide confidence intervals that included the null