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Marks ability to investigate the matter further was, however, temporarily delayed by the fact that shortly after the conference Samols went to Seattle to spend a sabbatical year with Robert Williams to learn more about the clinical and laboratory aspects of diabetes (Marks 2018)

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[13] The current NICE obesity guideline sets out a structured approach involving lifestyle interventions as a first-line measure, licensed pharmacotherapy where clinically appropriate, and bariatric surgery for eligible individuals with severe obesity