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Unfortunately, the cellular and physiological mechanisms by which bariatric surgery achieves weight loss have not been fully elucidated, yet are critical to understanding the central role of the intestinal tract in whole\u2010body metabolism and to developing novel strategies for the treatment of obesity. In this review, we provide an overview of potential mechanisms contributing to weight loss, including effects on regulation of energy balance and both central and peripheral nervous system regulation of appetite and metabolism. Moreover, we highlight the importance of the gastrointestinal tract, including alterations in bile acid physiology, secretion of intestinally derived hormones, and the microbiome, as a potent mediator of improved metabolism in postbariatric patients.<\/jats:p>","DOI":"10.1111\/nyas.13409","type":"journal-article","created":{"date-parts":[[2017,9,4]],"date-time":"2017-09-04T00:28:47Z","timestamp":1504484927000},"page":"53-64","source":"Crossref","is-referenced-by-count":134,"title":["Mechanisms of weight loss and improved metabolism following bariatric surgery"],"prefix":"10.1111","volume":"1411","author":[{"given":"Christopher M.","family":"Mulla","sequence":"first","affiliation":[{"name":"Research and Clinic Divisions Joslin Diabetes Center  Boston Massachusetts"},{"name":"Department of Medicine, Harvard Medical School  Boston Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roeland J.W.","family":"Middelbeek","sequence":"additional","affiliation":[{"name":"Research and Clinic Divisions Joslin Diabetes Center  Boston Massachusetts"},{"name":"Department of Medicine, Harvard Medical School  Boston Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary\u2010Elizabeth","family":"Patti","sequence":"additional","affiliation":[{"name":"Research and Clinic Divisions Joslin Diabetes Center  Boston Massachusetts"},{"name":"Department of Medicine, Harvard Medical School  Boston Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,9,3]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(14)60460-8"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2016.6458"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199509143331101"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199910073411501"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-103-6-1006"},{"key":"e_1_2_13_7_1","first-page":"CD008274","article-title":"Long\u2010term effects of weight\u2010reducing diets in people with hypertension","volume":"3","author":"Semlitsch T.","year":"2016","journal-title":"Cochrane Database Syst. 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