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Metabolic Syndrome and Related Disorders
Some people with endometriosis struggle with weight gain linked with inflammation, reduced mobility, or hormone-related changes, while others experience difficulty maintaining weight because of pain, nausea, or appetite disruption
As weight-linked cases improve, the field is left to confront the patients whose condition stems from other mechanisms
95%CI, 6.32 to 0.46
Potential advantages Often a strong option for patients with significant reflux May be especially helpful for patients with type 2 diabetes or metabolic disease Can be used as a revision option after Lap-Band or sleeve in selected patients May provide more weight loss for some higher-risk or higher-BMI patients Long track record in bariatric and metabolic surgery Important considerations More complex anatomy than gastric sleeve Higher need for lifelong vitamin and mineral compliance Dumping syndrome can occur, especially with high-sugar foods NSAID and steroid use may be restricted because of ulcer risk Requires careful long-term follow-up Which Procedure Might Be the Best Fit
10.1210/en.2005-1610 5 AntonelliA.FerrariS
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