Metabolic means that patients in this group reduce weight by changing their gastrointestinal systems and by doing so, there is a modification to the patient's physiological response to weight loss (14 ). Metabolic surgical treatment lead to a change in the secretion of the gut hormonal agents (14 ). This change in the gut hormonal agents outcomes i

Metabolic ways that patients in this group reduce weight by modifying their gastrointestinal systems and by doing so, there is a change to the patient's physiological reaction to fat loss (14 ). Metabolic surgical treatment results in a modification in the secretion of the gut hormones (14 ). This modification in the gut hormones outcomes in a decr