Factors linked to not moving forward with weight-loss surgery in very severely obese patients at a community center

Patients with obesity class IV and V may benefit substantially from bariatric surgery.

• A significant number of patients do not complete the preoperative pathway for bariatric surgery.
• The impact of system-level barriers on the progression to surgery is not well understood.
• The role of glucagon-like peptide-1 receptor agonist therapy in non-progression remains unclear.
• Understanding these factors is essential, especially in community settings.

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