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"For years, the question has been whether it is the bariatric surgery or a change in diet that causes the diabetes to improve so rapidly after surgery. We found that the reduction of patients' caloric intake following bariatric surgery is what leads to the major improvements in diabetes, not the surgery itself."
"Unfortunately, such a restrictive diet is nearly impossible to adhere to long-term in the absence of bariatric surgery. We found that the success of bariatric surgery is mediated through its ability to control food intake, which in turn has a beneficial effect on diabetes."
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Rapid Improvement of Diabetes After Gastric Bypass Surgery Is It the Diet or Surgery?
Ildiko Lingvay, Eve Guth, and Edward Livingston
Diabetes Care 2013; doi: 10.2337/dc12-2316
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