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Metabolic surgery, which is most effective when performed early during diabetes, can be considered in those without a sufficient response to non-surgical weight loss interventions based on the specific context and preferences and should be accompanied by health behaviour interventions

Clinical studies and real-world cases suggest that as weight becomes steady, cholesterol levels return to normal or even improve

Factors that may increase the likelihood of experiencing dizziness include: Rapid dose escalation without adequate titration Pre-existing cardiovascular conditions or autonomic dysfunction Concurrent use of medications that lower blood pressure or blood glucose Dehydration or inadequate fluid intake Older age or frailty Patients with type 2 diabetes using these medications may be at particular risk if they are also taking insulin or sulphonylureas, as the combination can increase the risk of hypoglycaemia, which commonly presents with dizziness or light-headedness

10.1177/1090198119868232 [EL 1