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This slows gastric emptying (so meals feel filling for longer), helps the pancreas tune insulin release, and suppresses appetite through brain signaling

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There is the activated azygos vein pathway, left superior caval vein-azygos vein-inferior caval vein, and, consequently, congested inferior caval vein and superior mesenteric vein became decongested reflecting elimination of the otherwise severe caval and portal hypertension