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These may include: Poorly controlled diabetes Elevated cardiac risk Significant visceral adiposity Severe obstructive sleep apnea History of anesthesia difficulty Liver fibrosis or advanced fatty liver disease For these individuals, preoperative medical weight loss is not optional but an essential part of achieving a safe surgical outcome

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Rodbard HW, Giaccari A, Lajara R et al (2020) Sotagliflozin added to optimized insulin therapy leads to HbA1c reduction without weight gain in adults with type 1 diabetes: a pooled analysis of inTandem1 and inTandem2

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