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Metabolic/bariatric surgery also modifies bone microarchitecture and strength, and increases the risk of fracture [10,11,12]

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Executive summary: Guidelines (2013) for the management of overweight and obesity in adults: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the Obesity Society published by the Obesity Society and American College of Cardiology/American Heart Association Task Force on Practice Guidelines