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Determines whether combined protocols deliver results or just add expense and frustration

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Surg Obes Relat Dis 17(12):20972106 McTigue KM, Wellman R, Nauman E et al (2020) Comparing the 5-year diabetes outcomes of sleeve gastrectomy and gastric bypass

The cost of a rough restart, days of vomiting or an abandoned attempt, is worse than the cost of a conservative plan