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Refining Nutrition and Movement Medication is a tool, not a total solution
The SLEEVEPASS trial demonstrated that patients who were randomly assigned to either a laparoscopy sleeve gastrectomy or a laparoscopic Roux-en-Y gastric bypass maintained a 43.5% and 50.7% excess weight loss a decade after the procedure
Advise patients that changes in insulin regimen should be made under close medical supervision
As we ageespecially during perimenopause and menopausemaintaining lean muscle becomes critical for metabolic health, bone density, mobility, and independence later in life
And for many of our patients, the journey to more energy, better mood, and clearer focus doesnt begin in the brain it starts in the gut