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To qualify, patients must meet one of the following: BMI of 35 or higher BMI of 30 or higher with heart failure, uncontrolled hypertension on two medications, or chronic kidney disease stage 3a or above BMI of 27 or higher with a history of pre-diabetes, prior heart attack, prior stroke, or symptomatic peripheral artery disease That is a meaningfully different population than a standard cash-pay weight loss patient

Panchal et al (2020)

Your stomach pain typically stems from increased gastric pressure and the accumulation of partially digested food in your stomach