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Seems like it is taking along time to get approved

(2024) 137:761769.e1

Appreciating the FDA's position goes beyond regulatory requirements and directly supports high-quality patient care

doi: 10.2337/db07-0069

Metabolic and bariatric surgery should be discussed with patients who have BMI 35 kg/m (regardless of comorbidities) or BMI 30-34.9 kg/m with metabolic disease, according to 2022 ASMBS/IFSO guidelines