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Bariatric surgery may be considered for those with BMI 40 kg/m or 35 kg/m with obesity-related complications (with recent guidelines supporting consideration at lower BMI thresholds with metabolic disease)

For measurement of plasma active GLP-1 (Meso Scale Diagnostics) and active GIP (Crystal Chem), blood was mixed with 10% TED (vol/vol) and plasma stored at 80C until further analysis

This is significantly less expensive than pharmaceutical-grade products, which can cost $1,000 to $1,500 per month without insurance

Liposuction is considered a cosmetic procedure and is typically not covered by insurance

Shipping origin is the second thing to confirm

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