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2005 Oct;26(10):1687-9

Parlaklk performansn zirveye tayan %5 oranndaki Triple Glow Complex

Even if GLP-1 and GIP secretion are present in these scenarios, both hormones usually have decreased effectiveness

Am J Cardiol 2014;114:384-8.ArticlePubMed 123

If a significant part of this mechanism relies on re-absorption from bile that would be an issue due to lack of intrinsic factor breaking the "enterohepatic recirculation"