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doi: 10.1002/iub.1646

It also increases ketogenesis in the liver and stimulates the formation of ketone bodies by constantly supplying nonesterified fatty acids to the liver [13]

Its not an overnight transformation, but a gradual shift back toward balance

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Multiple studies demonstrate that proliferation due to incretin mimetics can lead to duct occlusion, promoting the premature release of pancreatic enzymes, thereby triggering acinar cell death 18,26

Surgery should be deferred when shedding remains active, weight or nutrition is unstable, the diagnosis is uncertain, inflammatory or scarring disease is active, donor miniaturization is diffuse, expectations are unrealistic, or the patient believes transplantation will stop future shedding