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l l l l l Surgery l Bariatric surgery may be considered for patients who have a BMI of  40 kg/m2 (Obesity III, morbid obesity), or between 35–39.9 kg/m2 (Obesity II) and a significant disease (such as type 2 diabetes or high blood pressure) which could be improved with weight loss, and if all appropriate nonsurgical measures have been tried but clinically beneficial weight loss has not been achieved or maintained

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"Diet, Physical Activity and Adiposity." The American Journal of Clinical Nutrition