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There is no evidence from randomized, controlled trials that bariatric surgery reduces the risk of mortality or major cardiovascular events, but there are a host of observational studies and meta-analyses that consistently show an association between metabolic surgery and a lower risk of primary and secondary cardiovascular disease, particularly in people with type 2 diabetes, when compared with nonsurgical interventions or usual care

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I recommend working with a licensed medical practitioner to help guide you to choosing those that meet your needs best, says Wagner