Gastric bypass may not be suitable for everyone due to the lifelong commitment, cost, and the fact that it results in muscle loss in addition to fat loss. Muscle is essential for a healthy metabolism, longevity, and overall health. Losing muscle can lead to a decline in health, lower metabolism, and the need for intensive protein intake and weight training. Long-term management involves tracking through DEXA scans and body composition testing to avoid negative consequences on health and metabolism.

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