Reference: england.nhs.uk nice.org.uk nice.org.uk
What Injuries Are Being Reported in GLP-1 Lawsuits
Rare cases (less than 1%) develop paradoxical adipose hyperplasiawhere fat cells increase rather than decrease in size
This test has recently been described in detail and applied to patients suffering from either long COVID or ME/CFS (306)

You may be considered for sleeve surgery if: Your BMI is 35 or above , with or without obesity-related conditions Your BMI is 30 to 34.9 with significant comorbidities such as type 2 diabetes, hypertension, or sleep apnea (lower BMI thresholds may apply at some centers, clinician-led) You have had documented failure of supervised non-surgical weight management You are medically fit for general anaesthesia after pre-operative assessment You are committed to long-term dietary changes and structured follow-up , including supplement protocols post-surgery Surgery is typically not recommended if you have: Uncontrolled psychiatric conditions that affect treatment adherence Severe gastroesophageal reflux disease (GERD), where sleeve may worsen symptoms (a bypass option may be discussed instead) Active substance dependence Conditions that significantly increase anaesthetic risk without optimization first Pregnancy or planned pregnancy in the near term What a responsible pre-operative workup in Dubai typically includes: Blood panel: full metabolic screen, HbA1c, iron, B12, vitamin D, thyroid Resting ECG and cardiology clearance if indicated Gastroscopy to assess stomach anatomy and rule out ulcers or H
