Ricardo Cohen, Jose Pinheiro, Carlos A. Schiavo, João E Salles, Bernardo L Wajchenberg, David E Cummings
Long-term success rates of lifestyle modifications can be disappointing (2), however, and despite an ever-increasing armamentarium of pharmacotherapeutics, adequate glycemic control often remains elusive (3). [...]most diabetes medications promote weight gain, and using them to achieve tight glycemic control increases risks of hypoglycemia (4). According to these criteria, a BMl ^35 kg/m2 with associated comorbidities, such as diabetes, is required to approve surgical obesity treatment.
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