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["Table S1  Indicators for inclusion in the study group"]
["(1) Patients aged 16-65 years with a diagnosis of metabolic syndrome and poor outcome of nonsurgical treatment;"]
["(2) Male patients with waist circumference ≥90CM, female waist circumference ≥85CM;"]
["(3) For patients with simple obesity, BMI ≥32.5 or BMI between 27.5-32.5"]
["difficult to control with life changes and medical treatmentand at least meet at least 2 metabolic syndrome components ."]
["Note: Metabolic syndrome components : central obesity, high triacylglycerol, low HDL cholesterol, hypertension, elevated fasting glucose."]

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