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Surgical revision or conversion may be considered in selected cases where significant anatomical changes have occurred (e.g., pouch or sleeve dilatation, loss of restriction)

Semaglutide-induced weight loss directly reduces this visceral fat deposit, which explains why cardiovascular improvements often exceed what simple calorie restriction produces

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Semaglutide is not recommended if you or any of your family members have ever had MTC or if you have MEN 2

On review, the patient was noted to have features of hypogonadism