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MBS is increasingly accepted for severe pediatric obesity, provided it is managed by a dedicated team

[DOI] [PubMed] [Google Scholar] 16.Sikiric P, Seiwerth S, Rucman R, Turkovic B, Rokotov DS, Brcic L, Sever M, Klicek R, Radic B, Drmic D, Ilic S, Kolenc D, Aralica G, Safic H, Suran J, Rak D, Dzidic S, Vrcic H, Sebecic B

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376 Similar to systemic IR, brain IR can be defined as failed response to insulin by brain cells, 377,378 primarily due to downregulated insulin receptors, an inability of insulin receptors to bind insulin, or dysfunction of the insulin signaling cascade