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The impact on the vagus nerve becomes clear: Dysregulated stress response feeling stuck in fight-or-flight, even at rest Disrupted appetite signaling constant hunger with little sense of satiety Sluggish digestion delayed gastric emptying and toxin buildup This combination often leads to increased cravings, stress eating, and weight gainnot because of a lack of willpower, but because the system itself is out of balance

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Effects of biliopancreatic diversion on diurnal leptin, insulin and free fatty acid levels