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1 Introduction Hypoglycemia after meals is known as postprandial hypoglycemia (PPH) and can induce symptoms including perspiration, weakness, disorientation, and palpitations due to low blood glucose levels ( In recent years, there has been growing recognition of the prevalence and significant impact of PPH in patients who have undergone bariatric and metabolic surgery ( This review seeks to provide a thorough summary of PPH following bariatric and metabolic surgeries, covering its frequency, symptoms, diagnostic techniques, and treatment choices

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No pause: excluded those with pauses in metformin, SGLT2 inhibitor or GLP-1 receptor agonist during the study period