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For patients with severe obesity (BMI 40 kg/m or 35 kg/m with comorbidities) who have not achieved adequate weight loss with non-surgical interventions, bariatric surgery may be considered following specialist assessment, as outlined in NICE CG189

About this article Cite this article Buhrman, J.S., Rayahin, J.E., Kllmer, M

After a mean of 9.3 years, the recurrence of postoperative curvature had increased from 0% after a mean of 38 months (1873 months) to 23.7%, post-op erectile dysfunction increased from 3.0% to 39.5%, penile shortening from 0.0% to 65.8%, and impairment of penile sensitivity from 3% to 31.4%

Physical activity helps preserve lean muscle mass during weight loss, which is particularly important when using GLP-1 medications

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They are not approved by the FDA for human or veterinary use, and reputable vendors state that on every page