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Nevertheless, although bariatric surgery appears to provide clinical benefits, such as significant reductions in the number of anatomical sites involved and overall disease activity, some reports have also described disease worsening after this intervention, possibly related to nutritional deficiencies or increased friction in skin folds secondary to rapid weight loss.2,811 In this context, GLP-1 receptor agonists (GLP-1 RAs), such as liraglutide and semaglutide, have demonstrated not only beneficial effects on weight reduction and other metabolic parameters, but also a capacity to lower the risk of cardiovascular events independently of weight loss, potentially through anti-inflammatory mechanisms

There can also be meaningful health benefits when the treatment is medically appropriate

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Then it might be time to rethink the standard protocoland take a smarter, slower approach

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That's why it is often associated with improved endurance and reduced muscle fatigue