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Bariatric surgery remains an option for patients with severe obesity who meet specific NICE criteria generally a BMI of 40 or above, or 35 or above with significant comorbidities, with lower thresholds applicable in some groups, such as those with recent-onset type 2 diabetes

The studies aren't just happening in a petri dish, either

Therefore, the role that dietary impact may have played on lean mass should be interpreted with caution