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A significant risk of cardiovascular disease, cardiovascular death, and cardiometabolic risk factors is also associated with obesity

This powerful effect was directly linked to nutritional ketosis and improved metabolic health, rather than just body weight loss alone

Recovery creates the change

eligibility typically requires a BMI of 35 kg/m or above (or 30 kg/m or above in certain ethnic groups), though thresholds vary by ICB Bariatric surgery referral for eligible patients, typically those with a BMI of 40 kg/m or above, or 35 kg/m or above with significant obesity-related comorbidities, in line with NICE guideline CG189 Structured diabetes prevention programmes for those at risk of type 2 diabetes These pathways offer genuine, monitored, and legally sanctioned routes to improved metabolic health