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O'Connor J, Lindsay K, Baker C, Kirby J, Hutchins A, Harris M

Even people who achieve the treatment goals with the new obesity pharmacotherapies might decide to undergo bariatric surgery to support long-term weight maintenance because either they experience weight regain on the medication or they do not have long-term access to obesity pharmacotherapy, or they prefer not to take obesity pharmacotherapy lifelong

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Papanastasopoulou C, Papastamataki M, Karampatsis P, Anagnostopoulou E, Papassotiriou I, Sitaras N

So previously, the problem was weight regain with only diet and exercise or because of this evolutionary biology