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Repeated-measure analyses of the primary and secondary outcomes at the six assessment time points were conducted with mixed-effects models using all available data, with fixed effects for treatment, visit, baseline weight, type of surgery, sex and diabetes status (and for secondary outcomes, the baseline value for the secondary outcome), an interaction term between treatment and visit, and a random intercept for participant

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Metabolic syndrome is a cluster of conditions-increased blood pressure, high blood sugar, excess body fat around the waist, and abnormal cholesterol or triglyceride levels-that occur together, increasing your risk of heart disease, stroke, and type 2 diabetes