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In a randomized trial, RYGB and VSG compared with medical therapy alone resulted in excess weight loss of ~28%, 25%, and 5% and with T2DM remission of 42%, 37%, and 12%, respectively (5)
Exercise, particularly resistance training, shifts this ratio dramatically in favor of fat loss
This is normal and does not affect concentration or integrity
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And as you lose weight, health conditions stemming from excess weight may lessen or disappear as well
