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The concept of permanent metabolic damage has been largely debunked by controlled research, though it remains a persistent myth in weight loss communities

Unfortunately, it has been suggested that these people, including myself, should make diet changes and increase exercise, but that ignores the fact that many of us have already spent decades doing exactly that

doi:10.1111/j.1365-2982.2007.01079.x Schirra J, Nicolaus M, Woerle HJ, Struckmeier C, Katschinski M, Gke B

Those aren't just legal distinctions - they're practical ones that tell you who to contact when something goes wrong and who actually has authority over your care

AAAHC-Accredited Ambulatory Surgery Center MBSAQIP-Accredited Bariatric Surgery Outpatient Center of Excellence Anthem Blue Distinction Plus Center UnitedHealthcare Optum Bariatric Center of Excellence Aetna Institute of Quality History of SRC Center of Excellence Recognition A history of bariatric firsts JourneyLite and Dr