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Keto Elite Unlike the opposite procedures, there is a significant amount of small bowel that's bypassed by the food stream. The frequent explanation of how this gadget works is that with the smaller stomach pouch, consuming only a small amount of meals will satisfy starvation and promote the sensation of fullness. The feeling of fullness depends upon the dimensions of the opening between the pouch and the rest of the abdomen created by the gastric band. The dimension of the stomach opening can be adjusted by filling the band with sterile saline, which is injected via a port positioned underneath the pores and skin. Bariatric surgical procedures trigger weight reduction by restricting the quantity of meals the stomach can maintain, causing malabsorption of nutrients, or by a mix of each gastric restriction and malabsorption. Bariatric procedures also usually trigger hormonal modifications.