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Rosenthal, MD,FASMBS, a past president of the American Society of Metabolic & Bariatric Surgery (ASMBS), noting that bariatric surgery consults are down 30% nationwide in the past year

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Hepatology 77(4):13351347 Wong VW, Ekstedt M, Wong GL, Hagstrm H (2023) Changing epidemiology, global trends and implications for outcomes of NAFLD

Blood levels rise across the first several weekly doses and settle near steady state after about four weeks. That is why the four-week hold matters: the full effect of a dose change is not visible in the first few days