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Money: In our experience, the No

Pros: One-time treatment Long-term weight loss supported by decades of research Often improves diabetes, blood pressure, and sleep apnea No lifelong medication costs Cons: Requires surgery and recovery Lifestyle changes are necessary For many patients with severe obesity, bariatric surgery remains the most effective long-term treatment available

My provider took the time to understand my specific struggles with food noise and emotional eating

Per ADA 2026 Standards of Care, treatment is individualized based on A1C targets, comorbidities (CVD, CKD, heart failure), hypoglycemia risk, weight effects, cost, and patient preference

Then you catch your reflection in the bathroom mirror under harsh lighting and reality hits - your face didn't get the memo

District Judge Karen Marston, who is already presiding over the gastroparesis-related litigation
