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Meal composition is also able to influence postprandial PYY release, whereas gastric distension is not implicated in influencing plasma PYY concentration.60 Dietary fat, carbohydrates and protein all stimulate PYY release, but to different degrees and time-courses.61,62 About the role played by carbohydrates, Essah et al.26 found that low-carbohydrate, high-fat (LCHF) diet stimulates PYY secretion more than low-fat, high-carbohydrate (LFHC) diet

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Local approval was obtained in all participating centers after approval of the national coordinating center

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