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ModerateEndocrinologyObesity and T2DM-Surgical Therapyus-abimus-usmle-step-2

A 58-year-old man with obesity and OSA has persistent uncontrolled T2DM (A1C 9.5%) despite maximal GLP-1 RA and metformin. BMI 42. Best next step to improve glycemia and weight?

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