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Severe obesity with comorbidities — ABFM Board MCQ

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HardEndocrine/MetabolicSevere obesity with comorbiditiesABFM Board

A 52-year-old woman has BMI 42 kg/m², obstructive sleep apnea, hypertension, and A1c 6.2%. She has tried structured lifestyle treatment without durable weight loss. Which of the following would you advise this patient?

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Correct answer: D — Bariatric surgery evaluation is appropriate

Metabolic/bariatric surgery is appropriate for patients with BMI 40 kg/m² or higher, or BMI 35 kg/m² or higher with obesity-related comorbidities, after shared decision-making and multidisciplinary evaluation.

Reference: ASMBS/IFSO Metabolic and Bariatric Surgery Guidelines