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Mild, occasional reflux: either procedure may be suitable Moderate to severe GERD requiring daily medication: bypass is generally favoured Barretts oesophagus history: bypass typically recommended, depending on specialist assessment and endoscopy findings An endoscopy before surgery can help assess oesophageal health Type 2 Diabetes: Metabolic Effects of Bariatric Surgery According to the American Diabetes Association, improvements in blood glucose can occur within days to weeks, often before significant weight loss

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Traditional clinic costs Brick-and-mortar clinics offering peptide therapy typically charge premium prices reflecting their overhead and in-person service model

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