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In RYGB patients, continuous glucose monitoring (CGM) has become an increasingly popular and effective tool for detecting glycemic fluctuations and diagnosing PRH [53]

According to the 2020 ADA Standards of Medical Care in Diabetes, his revascularization procedure in January 2019 is a clinical trigger to consider the addition of a glucose-lowering agent with evidence of cardiovascular benefit

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If these symptoms occur, imaging studies such as ultrasound may be needed to evaluate the gallbladder
