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The treatment approach should be individualized: Pharmacotherapy for all eligible patients with stage 2 or 3 fibrosis (including lean patients) Metabolic-bariatric surgery for those meeting body mass index criteria, and Endoscopic options for patients seeking alternatives to metabolic-bariatric surgery who can manage the out-of-pocket costs

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Ali stresses that theres a reason why these medications were designed to treat obesity and overweight, and not to help people lose a few pounds