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We therefore suggest future studies to more thoroughly report maternal and treatment characteristics including trimester of exposure

19,25 Diabetes is defined by the World Health Organisation as a metabolic disorder of multiple aetiology characterised by chronic hyperglycaemia with disturbance of carbohydrate, fat, and protein metabolism resulting from defects in insulin secretion, insulin action, or both

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maintenance of 6070% weight loss after 10+ years Time investment: One-time surgery plus follow-up care Patients with BMI criteria for bariatric surgery ( (BMI 35, or BMI 30 with other diseases such as diabetes, sleep apnea, or hypertension), would receive better outcome from permanent alteration in surgery rather than several years of pharmacological treatments