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How it works and what we understand now is that while gastric bypass on be is performed by making a very small pouch of stomach and attaching along Lynn Love small bowel that basically is now absorbed his because you don't have any a bile and pancreatic juice to mix with food in order for a food to be absorbed so we have a little bit of a restrictive component to the operation and a little bit of now absorbed its component to the operation but we also understand is there some kind of magic that takes place when you bypass the first part of the small intestine in diabetics will often see immediate results on an immediate resolution I love their diabetes in that they’re sugars that were high and uncontrolled and that were only controlled with significant amount have insulin are totally normalized after surgery sowed know there something a hormonal that happens when we bypassed the duodenum the first part of the small intestine that allows for this immediate resolution a diabetes.
