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Phase 2: surgery (core)the definitive metabolic reset and economic advantage The final stage of the TPMO framework, metabolic adjuvancy, is crucial for preventing weight regain and maintaining the new set point established by surgery

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References Grau-Bov C, Gonzlez-Quilen C, Cantini G, Nardini P, Espina B, Bani D, Terra X, Blay M, Rodrguez-Gallego E, Luconi M, Ardvol A, Pinent M

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They also pushed for early motions to dismiss by requesting objective testing for gastroparesis, which can complicate the plaintiffs burden of proof
