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American Society for Metabolic and Bariatric Surgery

  • Appetite
  • Bariatric Surgery
  • Bile Acids and Salts
  • Incretins

February 2026 (A): Theories and concepts of physiological mechanisms in metabolic and bariatric surgery, beyond restriction and malabsorption: a narrative review

Understand gut hormone changes: Explain how bariatric surgery alters incretin hormones (GLP-1, PYY) to improve satiety and glucose metabolism. Recognize bile acid signaling: Describe the role of altered bile acid circulation and FXR/TGR5 receptor activation in metabolic improvements. Identify microbiome shifts: Discuss how changes in gut microbiota composition after surgery contribute to weight loss and metabolic regulation. Integrate neural mechanisms: Analyze how vagal and central nervous system pathways mediate appetite suppression and energy balance beyond restriction/malabsorption.

Credit & MOC Details

Credit information is provided by the course provider. We recommend confirming credit eligibility with the provider or your licensing board before starting the activity.

Credit types

This is a journal-based activity. Credit is earned after completing the required reading and assessment; the amount shown is the provider-reported available credit.

AMA PRA Category 1 Credit™Up to 1 credit

MOC types

ABS — Accredited CMEUp to 1 pointABS — Self-AssessmentUp to 1 point

FDA REMS

No

Qualifies for MIPS

No
  • Journal-based
  • Credit · Up to 1 credit
  • MOC · Up to 1 point
  • Fee · varies
  • Released
    Feb 1, 2026
  • Last day to claim credit
    Feb 2, 2029 2 years left