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But the reduction is often disproportionate, hitting protein intake harder than other macronutrients because protein-rich foods tend to be the most satiating and the hardest to consume when appetite is suppressed

Patients who lose weight after bypass surgery have been found to have lower ghrelin levels than those who lose weight by other means such as diet and exercise, which may partly explain the long-lasting success of this treatment.

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Both analyses were performed using the same methods as the primary analysis