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To qualify, several cumulative conditions must be met: have an initial BMI 40 kg/m, or a BMI 35 kg/m associated with at least one comorbidity specified by the decree (type 2 diabetes, high blood pressure, sleep apnea, cardiovascular disease, dyslipidemia, in particular) be in a situation of failure of a properly conducted nutritional treatment, defined by weight loss of less than 5% after six months continue in parallel with a low-calorie diet and increased physical activity

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