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As has already been said, this process generally appears after the age of 55 or 60 and progresses more and more until the neural canal is almost completely closed. Bariatric procedures have strong evidence of efficacy and safety. All people with severe obesity, especially type 2 diabetics, should be involved in decision-making regarding the risks and benefits of surgery compared to usual medical treatment and lifestyles, and the decision should be based primarily on preferences. informed of the patient. вI see few people in the neighborhoods where I go to give consultations,в notes Dr. Maurice Negre, MSF doctor.