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Current guidelines from the American Society for Metabolic and Bariatric Surgery (ASMBS) and International Federation for the Surgery of Obesity (IFSO) support consideration in patients with BMI 35 kg/m regardless of comorbidities, or BMI 30-34.9 kg/m with metabolic disease
Financial burden ($1,000+/month without insurance coverage) Side effects that aren't properly managed Lack of comprehensive support Unrealistic expectations about medication alone What happens next
Orally Gastrointestinal discomfort, allergic reactions, worsening of asthma, toxicity, and interference with other medications
Expression profile of a -deletion variant of the human telomerase reverse transcriptase gene
It works by: Reducing appetite and controlling cravings
