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An overview table of included studies is available in the Supplementary Material (S1) and online with options to filter the database ( The table includes information on first author and year of publication (1), paper title (2), whether the study was included in the meta-analysis (3) or systematic review (4), a tag indicating whether ghrelin or GLP-1 was investigated (5), specification of the hormonal assessment and/or manipulation (i.e., whether plasma acyl-, desacyl-, total ghrelin, GLP-1 was measured, which substance was administered (if any)) (6), type of reward phase assessed during fMRI (7), type of reward (e.g., food, money, alcohol) (8), and sample population(s) (9)

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Once hypoglycemia has been fully evaluated and PBH is diagnosed, medical nutrition therapy (MNT) is the first step to reduce postprandial surges in glucose, as these “spikes” in glucose often trigger excessive insulin secretion and promote subsequent hypoglycemia