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The best plan is the one you can stick with

Bariatric surgery--which seeks to reduce the size of the stomach or bypass part of the GI tract--was conceived in the 1960s when surgeons observed that gastric cancer patients who had part of the stomach removed (subtotal gastrectomy) went on to lose weight

It needs to be repeatable

The FDA has raised red flags about unapproved versions of these medications

market share over patient safety, choosing to continue aggressive marketing without disclosing vision loss risks even as international warnings accumulated