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Bariatric surgery is not for the moderately overweight. Although there are no consensus national guidelines for bariatric surgery for adolescents, doctors generally follow the same national guidelines for adults: The patient should have a body mass index (BMI) of 40 or higher (for example, someone 5’4″ would have to weigh at least 233 pounds to qualify), or a BMI of 35 (a weight of 204 for someone 5’4″) or greater with serious obesity related health problems, such as type 2 diabetes. This is because there could be increased likelihood of a nutritional or vitamin deficiency after surgery, which could hinder bone growth and sexual maturation, Michalsky says.
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