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Sometimes it's caused from diabetes and years of desensitizing the nerve endings in the gut, which can decrease the motility of the stomach

Significant discoloration suggests degradation or contamination

A detailed summary of findings table was constructed to present the quality of evidence across the included outcomes and studies (Supplementary Appendix C)
Clinical trial data show that while fat mass accounts for the majority of weight loss, some lean mass reduction also occurs, which could potentially affect muscle function

Cell Tissue Res 192: 227-240, 1978
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