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Subsequent 2025 reporting documented 28.5% reduction in women and 21.2% in men at 48 weeks [3][11]

Acknowledgements The first author wishes to express her gratitude to the entire BARIA team and the surgeons: Yair Acherman, Arnold van de Laar, Sjoerd Bruin, Maurits de Brauw and Daan Moes

2024a;71(8):11756

Preserving muscle mass, maintaining adequate protein intake, supporting sleep, balancing hormones, and reducing chronic stress all remain essential for long-term health

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Insulin resistance, the hallmark metabolic derangement of obesity, directly impairs endothelial NO synthase (eNOS) activity