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The patient should avoid pivoting and squatting and should work on keeping the quadriceps muscles strong

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