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PLoS Med 4(6): e206

Kasai M, Guerrero-Santoro J, Friedman R, Leman ES, Getzenberg RH, DeFranco DB

van der Aart-van der Beek AB, Apperloo E, Jongs N, et al

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While highly effective, surgery carries procedural risks and requires lifelong nutritional monitoring and supplementation

Clinical evidence suggests that without the medication, maintaining weight loss can be extremely difficult, highlighting the necessity of a well-thought-out ramp down strategy to avoid gaining back the weight thats been lost