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GLP-1 Increases Circulating Leptin Levels in Truncal Vagotomized Rats

Morais, T; Pereira, SS; Andrade, S; Neves, D; Guimaraes, M; Nora, M; Carreira, MC; Casanueva, FF; Monteiro, MP

GLP-1 is a gastro-intestinal hormone acting within the gut/brain axis for energy balance regulation. We aimed to evaluate the role of the vagus nerve in whole-body energy homeostasis and in mediating GLP-1 effects. For this, rats submitted to truncal vagotomy and sham-operated controls underwent a comprehensive evaluation, including eating behavior, body weight, percentage of white (WAT) and brown adipose tissu...


Visceral Adipose Tissue Bioenergetics Varies According to Individuals' Obesity ...

Topete, MV; Andrade, S; Bernardino, RL; Guimaraes, M; Pereira, AM; Oliveira, SB; Costa, MM; Nora, M; Monteiro, MP; Pereira, SS

Obesity is associated with complex adipose tissue energy metabolism remodeling. Whether AT metabolic reprogramming differs according to body mass index (BMI) and across different obesity classes is unknown. This study's purpose was to evaluate and compare bioenergetics and energy substrate preference of visceral adipose tissue (VAT) pertaining to individuals with obesity class 2 and class 3. VAT obtained from p...


Renal Dysfunction Phenotypes in Patients Undergoing Obesity Surgery

Pereira, PR; Pereira, J; Braga, PC; Pereira, SS; Nora, M; Guimaraes, M; Monteiro, MP; Rodrigues, A

Obesity surgery candidates are at an increased risk of kidney injury, but pre-operative evaluation usually neglects kidney function assessment. This study aimed to identify renal dysfunction in candidates for bariatric surgery. To reduce the sources of bias, subjects with diabetes, prediabetes under metformin treatment, neoplastic or inflammatory diseases were excluded. Patients' (n = 192) average body mass ind...


Are SADI-S and BPD/DS bariatric procedures identical twins or distant relatives...

Guimarães, M; Pereira, AM; Pereira, SS; Almeida, R; Lobato, CB; Hartmann, B; Holst, JJ; Nora, M; Monteiro, M

Given the common anatomical features and similar short-term weight loss outcomes, Biliopancreatic Diversion with Duodenal Switch (BPD/DS) and Single-Anastomosis Duodenoileal bypass with Sleeve gastrectomy (SADI-S) are considered identical bariatric procedures, apart from technical complexity being lower for SADI-S. In the absence of prospective randomized trials or long-term comparative studies the rationale fo...


Accuracy of prediction models for long-term type 2 diabetes remission after gas...

Cardoso, S; Pereira, SS; Almeida, RF; Osorio, C; Silva, D; Nora, M; Monteiro, M; Guimaraes, M

AimTo evaluate the accuracy of DiaBetter, DiaRem, Ad-DiaRem and 5y-Ad-DiaRem scores' at predicting T2D remission 10 or more years after surgery.MethodsPatients with obesity and T2D (n = 126) submitted to RYGB with 10 or more years of follow-up. It was a unicentric trial. Pre-operative anthropometric and clinical data was retrieved to calculate DiaRem, DiaBetter, Ad-DiaRem and 5y-Ad-DiaRem scores, while a hospit...


A Potential Role for Endogenous Glucagon in Preventing Post-Bariatric Hypoglycemia

Lobato, CB; Pereira, SS; Guimarães, M; Hartmann, B; Wewer Albrechtsen, NJ; Hilsted, L; Holst, JJ; Nora, M; Monteiro, MP

Obesity and obesity-related diseases are major public health concerns that have been exponentially growing in the last decades. Bariatric surgery is an effective long-term treatment to achieve weight loss and obesity comorbidity remission. Post-bariatric hypoglycemia (PBH) is a late complication of bariatric surgery most commonly reported after Roux-en-Y gastric bypass (RYGB). PBH is the end result of postprand...


Use of flash glucose monitoring for post-bariatric hypoglycaemia diagnosis and ...

Lobato, CB; Pereira, SS; Guimarães, M; Morais, T; Oliveira, P; de Carvalho, JPM; Nora, M; Monteiro, MP

Our aim was to assess the potential of flash glucose monitoring (FGM) for diagnostic workup of suspected post-bariatric hypoglycaemia (PBH). Patients (N = 13) with suspected PBH underwent a food and symptoms diary (FSD) record along with FGM over 14 days. Targeted data analysis confirmed the occurrence of low glucose events in parallel to meal-triggered symptoms. Glycaemic variability, as assessed by Mean Absol...


Akt/Smad3 signaling increases with adiposity and correlates to transforming gro...

Rodrigues, A R; Salazar, M J; Moreira, A; Guimarães, M; Nora, M; Almeida, H; Monteiro M P; Gouveia, Alexandra


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