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Blood tests provide information about the drugs presence in the system at the time of the test

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No gene encoding a DSIP precursor protein has been definitively established

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Study is needed to elucidate the pathophysiology to further understand why most patients have no hypoglycemia after gastric bypass, some have mild to moderate PGBH, and a small percentage have severe PGBH with debilitating neuroglycopenia unresponsive to dietary changes and medications