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Surgery = One Procedure, Long-Term Benefits Bariatric surgery may have a higher upfront cost, but unlike GLP-1 medications, it: Does not require lifelong dosing Produces more durable, effective weight loss Reduces long-term healthcare costs by improving diabetes, blood pressure, sleep apnea, and more Conclusion: Bariatric surgery is both MORE effective and LESS expensive than long-term GLP-1 therapy

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Second, the definition of regular menstruation varies across studies (e.g., cycle length, frequency, or scoring scales), and limited sample sizes and follow-up durations make it difficult to exclude the impact of anovulatory bleeding