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2.2 Surgical procedures All surgeries were performed at a single bariatric surgery center, by the same team of general surgeons, using a standard laparoscopic RYGB technique with a fixed 120-cm alimentary limb and a differing biliopancreatic limb length: between 60 cm and 90 cm for the classical procedure or 200cm for the metabolic variant, as previously described ( 2.3 Mixed meal tolerance test Participants underwent a mixed meal tolerance test (MMTT) following a 12 hour overnight fast
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