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doi: 10.3389/fendo.2022.847401

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however, helping them understand their disease on a metabolic level can reduce the self-blame and shame that tends to only worsen their outcomes overall

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Lets start with a 2016 research paper published in Obesity Reviews

The clinical observations of SGA births following bariatric surgery prompted us to hypothesize that bariatric surgery affects embryonic development and long-term offspring metabolic health independent of maternal weight loss (4952)