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International Journal of Molecular Sciences , 25 (8), 4346

For patients with severe obesity (BMI 40 kg/m or 35 kg/m with comorbidities) who have not achieved adequate weight loss with non-surgical interventions, bariatric surgery may be considered following specialist assessment, as outlined in NICE CG189

There are also rarer risks

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Hemoconcentration: Dehydration reduces plasma volume, leading to hemoconcentration with higher concentrations of red blood cells and clotting factors, accelerating clotting processes