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There is no evidence from randomized, controlled trials that bariatric surgery reduces the risk of mortality or major cardiovascular events, but there are a host of observational studies and meta-analyses that consistently show an association between metabolic surgery and a lower risk of primary and secondary cardiovascular disease, particularly in people with type 2 diabetes, when compared with nonsurgical interventions or usual care

GLP-1 drugs may help cats with severe obesity unresponsive to lifestyle changes, but medications do not replace proper nutrition and enrichment

[15] GLP-1 has also shown signs of carrying out protective and regulatory effects in numerous other tissues, including heart, tongue, adipose, muscles, bones, kidneys, liver and lungs

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The patient should avoid pivoting and squatting and should work on keeping the quadriceps muscles strong