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Current Data Still Favors Bariatric Surgery for Severe Obesity Present evidence indicates: Bariatric surgery provides greater total weight loss Surgery offers superior diabetes remission Surgical outcomes remain more durable Obesity medications are highly effective but require continuation Real-world medication adherence remains challenging However, obesity medications have unquestionably transformed obesity care by: Increasing awareness Reducing stigma Encouraging earlier treatment Expanding therapeutic options This represents a historic advancement in metabolic medicine