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Regular monitoring is essential : attend all scheduled appointments with your diabetes team, where your HbA1c, weight, renal function, and overall tolerability will be assessed

Tissues were fixed with 10% buffered formalin, and paraffin-embedded sections were stained with hematoxylin and eosin (H&E)

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Across all three pathways, one pattern holds without exception: the patients who maintain results at 12 and 24 months are not the ones who chose the most aggressive procedure