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Remaining questions Unlike GLP-1, the elevated levels of PYY post-surgery may contribute to longer-term improvements in obesity and glucose tolerance, highlighting its substantial and lasting role in weight reduction compared to GLP-1 [57]

In addition, the inability of ApoC-II to increase LPL activity in HR LPL enriched fractions, when ApoC-II has such a profound ability to increase LPL activity in the triolein-based assay suggests that the interaction between the EnzChek substrate, LPL, ApoC-II and Angptl4 needs to be further evaluated

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If you have concerns about elevated cortisol or symptoms suggestive of Cushing's syndrome (such as unexplained weight gain, purple striae, or muscle weakness), it is essential to consult your GP for appropriate investigation, which may include cortisol testing and referral to an endocrinologist