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At the University of Pennsylvania Health Systems three Philadelphia hospitals, the annual number of bariatric surgeries has fallen by more than half, from a peak of 850 three or four years ago to around 400 in the year that ended June 30, said Noel Williams, a physician who leads Penns bariatric surgery program

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How to Use: Mix 4 tsps with 16 ounces of water

They do not bypass the duodenum, reduce surface area, or eliminate nutrient transporters

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Weight loss is not considered a medical necessity
