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Description
Regardless of the cause of postmeal hyperinsulinemia after RYGB, several mechanisms may contribute to maintenance of inappropriately high levels of insulin, even when hypoglycemia has developed
[1] [2] If dyspnea occurs with signs of hypersensitivity or anaphylaxis, the medication should be discontinued immediately and emergency care sought

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It addresses prevention, immediate treatment, and ongoing management in a single systematic approach
