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If you are obese, you may want to consider bariatric surgery in more extreme cases to limit how much you can eat at one time

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What workup does the post say should happen before starting therapy

[14] If your clinic blood pressure reading is 140/90 mmHg or higher, your healthcare provider may recommend confirming this with ambulatory blood pressure monitoring (ABPM) or home blood pressure monitoring (HBPM), where a diagnosis of hypertension would be confirmed with an average reading of 135/85 mmHg or higher

It carries minimal risk, improves insulin sensitivity, and may prevent diabetes progression

This "lipid bilayer" acts as a protective shield