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Surgery confers multiple downstream benefits: Lower rates of obesity-related comorbidities (like hypertension, hyperlipidemia, sleep apnea) compared to GLP-1 therapy at follow-up JAMA Network Reduced health care utilization: fewer inpatient stays, outpatient visits, and ED visits per patient per month post-surgery compared to GLP-1 therapy

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Common nutritional gaps that correlate with stalled recovery Low protein intake relative to body size and training stress Low vitamin D status (common in indoor lifestyles) Low magnesium intake, especially with stress, sweating, or poor diet Inadequate vitamin C in those with limited fruit and vegetable intake Mineral imbalance when restrictive dieting is prolonged When people run peptides while under-eating protein, sleeping poorly, and avoiding micronutrient-dense foods, the body has less material for repair