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Remember closing an ASD in the setting of significant pulmonary hypertension can lead to decompensation, as the interatrial connection may be serving as a pop-off valve to decompress the RV and maintain cardiac output in the setting of high PA pressures

Gastric sleeve operations offer numerous advantages, such as improvement in obesity-related conditions like diabetes, hypertension, and sleep apnea
Patients who combine medication optimization with behavioral reinforcement achieve 15 to 25 percent greater weight loss than those relying on medication alone

Calibrate reports 87% of Philadelphia patients maintain clinically significant weight loss at 12 months
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