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[DOI] [PMC free article] [PubMed] [Google Scholar] 74.Nausheen S, Shah IH, Pezeshki A, Sigalet DL & Chelikani PK Effects of sleeve gastrectomy and ileal transposition, alone and in combination, on food intake, body weight, gut hormones, and glucose metabolism in rats

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As lean mass increases and fat decreases at the same time, the scale may stay flat even while body composition improves

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34 These effects are achieved by the expression and translocation of apical glucose transporter type 4 (GLUT4) thus increasing glucose uptake and by the inhibition of pro-apoptotic proteins such as Bad, Bax and FOXO family proteins, thereby improving beta cell survival