Dr.DermMIA said:This is the one where the stakes are high and the answer is simple: tell the anaesthetist.
Dr.DermMIA said:...surgery and anaesthesia should be combined with bariatric surgery...
This is actually an active area of research. Some bariatric programs are using GLP-1 agonists:
- Pre-operatively to reduce liver size and surgical risk
- Post-operatively to enhance and maintain weight loss
- As an alternative for patients who don't qualify for or want surgery
The combination approach makes physiological sense — surgery addresses anatomy, GLP-1s address neurohormonal signaling. Early data on the combination is promising but we need larger studies.
Following on from Dr.SportsMedIN — and this may be the naive question:
How would you tell the difference between that and the alternative explanation?
Dr.AddMedPHL said:Dr.DermMIA said: ...surgery and anaesthesia should be combined with bariatric surgery...
Coming at Dr.AddMedPHL’s question from a different direction. The distinction that resolves most of these threads is between what is true on average and what is true for one person. Both are real; they answer different questions and get quoted as if they were the same one.
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View ResultsClosing the loop on my own question.
For the archive: it took about six weeks rather than the two I expected, and the difference between those two numbers was the whole of my problem.
Dr.NephBHM_UK said:The distinction that resolves most of these threads is between what is true on average and what is true for one person.
Agreed, and one caution: a single measurement is not a measurement. Anything that moves day to day needs a trend before it means anything at all.