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In this test, patients with suspected dumping syndrome ingest a mixed meal containing carbohydrates, fat and proteins after an overnight fast, and blood samples are collected prior to the meal and at 30-min intervals for up to 2 h afterwards to measure glycaemic and insulin profiles

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Lipohypertrophy creates hardened lumps that absorb medication unpredictably

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There is no classic withdrawal syndrome, but drug levels fade over about five weeks and appetite returns