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Surgical options at Ingalls Memorial include: Gastric sleeve: Permanently reduces stomach to 20 percent of its original size Gastric bypass: Creates a tiny stomach pouch and reroutes intestines to limit food intake and absorption Duodenal switch: Combines gastric sleeve and bypass Buie recommended gastric sleeve surgery for Guisinger, which involves creating a smaller, banana-shaped sleeve that holds less food and resists stretching

Many acute studies utilize a completely different exposure pattern with very high CS concentrations, which is not necessarily comparable to the smoking regimen used for chronic studies [22, 23]