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Endoscopic bariatric therapies Bariatric surgery (BS) is the most effective intervention for long-term weight loss for individuals with obesity and its comorbidities [215]
But it should improve with time as your body gets used to the medication

The Extrapancreatic Effects of Glucagon-Like Peptide-1 and Related Peptides

Most patients enjoy results that last for years

Addressing these underlying metabolic problems may help restore regular ovulation and improve fertility

Schechter, O