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When 6-Week Ozempic Results Arent Enough: The Bariatric Surgery Conversation Ozempic may not be sufficient as a standalone solution if: You have a BMI over 40 Youve been on GLP-1 therapy for 6+ months and lost less than 5% of total body weight You have obesity-related comorbidities that arent adequately controlled The cost is unsustainable and insurance doesnt cover it long-term Youve stopped and restarted Ozempic due to rebound weight gain In those cases, gastric bypass or gastric sleeve surgery offer something Ozempic fundamentally cannot: a permanent, structural change to the GI tract that alters hunger hormones and reduces stomach capacity without requiring a weekly medication indefinitely

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