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At the University of Pennsylvania Health Systems three Philadelphia hospitals, the annual number of bariatric surgeries has fallen by more than half, from a peak of 850 three or four years ago to around 400 in the year that ended June 30, said Noel Williams, a physician who leads Penns bariatric surgery program

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Incretin-based treatments are safe and effective in managing T2DM, and they have beneficial effects on -cell function in addition to glycemic control

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