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[28,29] Furthermore, surgery is not considered the first line of treatment for everyone because it requires patients to meet the eligibility criteria, which include a BMI 40, the presence of one or more obesity-related comorbidities (heart disease, stroke, hypertension, and T2D), and the inability to maintain a healthy weight over time

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Even people who eat meat can have insufficient vitamin B12 levels

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However, clinical studies in this area are scanty to prove the long-term efficacy of these therapies

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Improved adherence has been associated with reductions in emergency room visits, hospitalizations, and overall healthcare costs [486]

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