The NIH (National Institute of Health) established the following criteria for surgical consideration:

  1. BMI ≥ 40, or more than 100 pounds overweight.
  2. BMI ≥ 35 and at least two obesity-related co-morbidities such as type II diabetes (T2DM), hypertension, sleep apnea and other respiratory disorders, non-alcoholic fatty liver disease, osteoarthritis, lipid abnormalities, gastrointestinal disorders, or heart disease.

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Metabolic Surgery: Weight Loss, Diabetes, and Beyond.
From the American College of Cardiology

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