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doi: 10.1152/ajprenal.00527.2014 28 JiaY.ZhengZ.GuanM.ZhangQ.LiY.WangL.et al

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At the end of the study, patients who had metabolic surgery had a: 32% lower risk of death 35% lower risk of major heart problems (such as heart attack, heart failure, or stroke) 47% lower risk of serious kidney disease 54% lower risk of diabetes-related eye damage (retinopathy) On average, people who had metabolic surgery lost 21.6% of their body weight over 10 years, compared with 6.8% weight loss in people who took GLP-1 medicines

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This dysbiosis is temporary and typically self-corrects as your gut microbiota rebalances over time