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In the case of hypo- or mixed-absorptive techniques, diseases that impair absorption or decompensated liver disease are usually considered as contraindications.126 In selected patients with controlled IBD, MBS is safe, with a low rate of postoperative complications (comparable to patients without IBD), and effective, in relation to good weight loss at 12 months (being somewhat better for gastric bypass than for restrictive techniques)

Ann Surg 276(5):e417e424 Goldberg I, Nie L, Yang J, Docimo S, Obici S, Talamini M et al (2021) Impact of bariatric surgery on the development of diabetic microvascular and macrovascular complications

PMID 9151953

He had an absorbtion problem

However, weight loss achieved with Wegovy may change your dosage requirements for thyroid medicine

Fatigue affects roughly 13% of users during the first month, often related to reduced caloric intake as appetite suppression takes effect