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The sustainability of energy restriction and its implementation across different diseases remains challenging.

Practitioners should be aware of the challenges in implementing energy restriction sustainably.

Metabolic surgery (bariatric surgery) is a highly effective treatment for T2DM remission in patients with BMI ≥ 32.5 kg/m2, offering higher remission rates and long-term benefits compared to conventional treatments.

If you have Type 2 Diabetes and a high BMI (32.5 or higher), and lifestyle changes haven't been enough, metabolic surgery might be an option. It can lead to long-term remission of diabetes for many people. Discuss with your doctor if you are a candidate, as it involves surgery and long-term monitoring.

Intensive lifestyle interventions focused on weight loss do not reduce cardiovascular morbidity or all-cause mortality in adults with type 2 diabetes and overweight or obesity.

If you have type 2 diabetes and are overweight, focusing intensely on losing weight through strict diet and exercise may not protect your heart or extend your life as much as previously thought. Prioritize sustainable health behaviors and mental well-being over the scale number, as the medical evidence for mortality benefits from weight loss in this specific group is lacking.

Bariatric surgery is an option for individuals with MASLD and obesity.

If you have obesity and MASLD, discuss bariatric surgery with your doctor as a potential option to improve your liver health.