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The treatment (Victoza or placebo) was unblinded after the 26-week visit, and the trial was continued for an additional 26-week open-label extension

Shertzer HG, Woods SE, Krishan M, Genter MB, Pearson KJ

Regardless of whether the metabolic effects of surgery are indirect, resulting from weight loss, or through an alternative direct factor, it is clear that there are widespread physiological differences in response to weight loss with surgery as opposed to dietary intervention alone