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This is because excess fat mass doesnt increase protein needs the way muscle mass does

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No acute effects of exogenous glucose-dependent insulinotropic polypeptide on energy intake, appetite, or energy expenditure when added to treatment with a long-acting glucagon-like peptide 1 receptor agonist in men with type 2 diabetes

An endoscope is a flexible tube with a light and camera attached thats inserted in the body without the need for open surgery

Agarwal PN et al