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Malabsorptive procedures (e.g., RYGB, BPD) significantly reduce absorption areas by bypassing the jejunum or ileum, leading to more severe nutrient deficiencies and bone loss

This discovery has led to several GLP-1 agonists being licensed as weight loss drugs, such as Saxenda pens

Structured weight-management programmes UK programmes such as NHS Weight Management Services or private clinics provide guidance that can complement or sometimes replace medication

Baseline estimated renal function was normal (eGFR 90 mL/min/1.73m2) in 65.9%, mildly impaired (eGFR 60 to 90 mL/min/1.73m2) in 28.5% and moderately impaired (eGFR 30 to 60 mL/min/1.73m2) in 5.4% of the patients

If not, you may need to troubleshoot or contact your healthcare provider for assistance