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Bariatric Surgery
Bariatric surgery is a category of weight-reduction surgical procedures recommended for individuals for whom repeated attempts to lose weight have been unsuccessful, or for those whose obesity poses a direct risk of death. These surgeries, of which there are multiple types, involve altering the gastrointestinal system to either reduce the volume of food that can be consumed or limit the body's ability to absorb digested food.

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Bariatric Surgery
A 45-year-old individual has a Body Mass Index (BMI) of 42, placing them in the severely obese category. They also have related health conditions, including type 2 diabetes and high blood pressure. Despite consistently following diet and exercise plans for the past five years, they have been unable to achieve significant or lasting weight loss. Based on this information, which of the following interventions would be the most appropriate to consider next?