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Patients should discuss their plans if considering pregnancy
doi: 10.1161/CIRCULATIONAHA.112.091215 39 GuoZQiWYuYDuSWuJLiuJ
Metabolic and bariatric surgery should be discussed with patients who have BMI 35 kg/m (regardless of comorbidities) or BMI 30-34.9 kg/m with metabolic disease, according to 2022 ASMBS/IFSO guidelines
In severe cases, we further limit the diet to 15 g of carbohydrate per meal, with no added sugars
23 As shown in TABLE 2 , recommended nonpharmacologic interventions to reduce GI AEs include dietary modifications such as eating smaller, more frequent meals
