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It also supports more intensive weight loss goals based on the efficacy of and access to newer medications [5, 6]

Additionally, patients should be advised to report any new or worsening symptoms, such as increased fatigue, weight changes, or mood alterations, which could indicate a need for adjustment in their thyroid treatment

20-30% of bariatric patients experience significant weight regain within 5 years Average regain is 15-25% of lost weight by year 5 Gastric bypass shows slightly lower regain rates than sleeve gastrectomy Early intervention for regain produces better outcomes than waiting Multiple factors contribute to weight regain after surgery

Endocr Pract 2013;19:864874 [DOI] [PMC free article] [PubMed] [Google Scholar] 20