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Current guidelines recommend surgery if you have: BMI 40 kg/m BMI 35 kg/m with obesity-related health conditions Surgical procedures include: Roux-en-Y gastric bypass Sleeve gastrectomy Adjustable gastric banding Bilio-pancreatic diversion with duodenal switch Endoscopic sleeve gastroplasty (ESG) offers a newer, minimally invasive option

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Rapid market expansion has also put a strain on large-scale synthesis protocols for GLP-1s