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Clinical · Special populations

Coming back to: Bariatric surgery history: altered anatomy, altered expectations

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g.amankwahTL2 Moderator25 Oct 2024#1

Bariatric surgery history: altered anatomy, altered expectations Writing it up because I had to work it out twice and would rather nobody else did.

Asking about a population rather than about a person.

The published trials in this class mostly enrolled a fairly specific group, and the questions here frequently come from people well outside it. I would like to understand what the honest position is when someone falls outside the studied population: not "it is fine" and not "there is no data", but what the reasoning actually looks like.

46 likes 21mo
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d.szymanskiTL3Wiki editor5 Feb 2025#2

Medullary thyroid carcinoma history: an absolute contraindication because of the preclinical findings in rodent toxicology. The history (personal or family, especially multiple endocrine neoplasia type 2) is an important screening question.

11 likes 18mo
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s.teixeiraTL2 Moderator20 Apr 2025#3
g.amankwah, post #1: Bariatric surgery history: altered anatomy, altered expectations Writing it up because I had to work it out twice and would rather nobody else did. Asking about a population rather than about a person. The published trials in this class mostly enrolled a fairly specific group, and the questions here frequently come from people well… Go to post

Coming back to the opening post, because the follow-up matters more than the original answer.

Older adults: sarcopenia risk is higher, polypharmacy is common, and the clinical trials did not enroll many people over 75. Extrapolating to very old people is extrapolating beyond the data.

1 like in reply to #1 15mo

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