Context

Obesity is at worldwide epidemic proportions with estimates that over 60% of the population is overweight or obese in the USA.1 Individuals born in this decade have a 30–50% risk of developing diabetes over their lifetime,2 with potentially disastrous consequences from disease complications. Medical interventions to promote clinically meaningful weight loss are effort intensive, with most patients unable to achieve and maintain long-term weight loss. Bariatric surgery achieves more effective and sustainable weight loss and cardiovascular benefits than medical therapy.3 It is more effective at improving diabetes control and inducing disease remission than conventional medical therapy.4 It is recommended as a treatment option …