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Documenting Maintain accurate and comprehensive clinical documentation of the prescribed dosage and any adjustments made during treatment

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G.NookalaA.HerndonB.MolteniA.PandyaP.et al (2010)

With the proliferation of new medical weight loss therapies, future studies should investigate the BMI thresholds at which patients may benefit from lifestyle, medical, or surgical-based weight loss prior to hiatal hernia repair

For patients with severe obesity (BMI 40 kg/m or 35 kg/m with comorbidities) who have not achieved adequate weight loss with lifestyle and pharmacological interventions, bariatric surgery may be considered