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These guidelines, put forth at the 2nd Diabetes Surgery Summit (DSS-II), also suggest metabolic surgery be considered in type 2 diabetic patients with a BMI of 3034.9 and inadequately controlled hyperglycemia (Rubino 2016)

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It includes a psychological evaluation to identify those patients who are most likely to remain abstinent and comply with the strict medical regimen that follows the procedure

doi: 10.1146/annurev-nutr-071813-105654

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