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The process begins with an eligibility screening, in which prospective members complete an online assessment to determine whether they meet the programs medical criteria, typically a BMI of 30 or higher, or 27+ with weight-related health conditions

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In 2024, a multi-society clinical practice guideline was issued jointly by the American Gastroenterological Association, the American Society for Metabolic and Bariatric Surgery, the American Society of Anesthesiologists (ASA), the International Society of Perioperative Care of Patients with Obesity, and the Society of American Gastrointestinal and Endoscopic Surgeons [112]