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Hypoglycemia After Gastric Bypass Surgery Hyperinsulinemic Hypoglycemia after Roux-en-Y gastric bypass may be due to the following mechanisms: late dumping syndrome beta cell hyperfunction (insulinoma) lack of regression of beta cell mass after weight loss underlying familial hypoglycemia syndrome GLP-1 mediated beta cell proliferation Hypoglycemia after weight loss surgery is often referred to as nesidioblastosis

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HDF, hemodiafiltration