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Briefly, as described (42), passage obstruction scored 03 (according to the loop diameters ratio close to anastomosis, loop diameters orally/loop diameters aborally = 1 passage is normal (score 0), between 1 and 1.33 is the sign of mild obstruction (score 1), between 1.33 and 1.66 is moderate obstruction (score 2), and more than 1.66 is severe obstruction (score 3))

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The problem is that peripheral lipolysis alone, without addressing energy balance, appetite, or the upstream hormonal environment that drives fat accumulation, appears insufficient for meaningful clinical weight loss in humans

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