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Surgical management is indicated for patients with BMI 35 kg/m 2 with 1 obesity-related complication or BMI 40 kg/m 2 , even though less than 2% of eligible patients actually receive this treatment 9

Laboratory Testing: Full metabolic panel (glucose, HbA1c, lipids), inflammatory markers (CRP, IL-6), vitamin D and B12 levels, and complete blood count (CBC) to rule out nutritional or systemic contributors

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