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Even in the era of these powerful new drugs to treat obesity and diabetes, metabolic surgery may provide additional benefits, including a survival advantage, said Steven Nissen, M.D., Chief Academic Officer of the Heart, Vascular & Thoracic Institute at Cleveland Clinic and senior author of the study

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The previous framework was widely criticized for relying on static checklists, manual processes, and point-in-time assessments conducted once every three years an approach fundamentally incompatible with the continuous, automated posture DSOP demands