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procedure growth was led by bariatric surgery , cholecystectomy and colorectal procedures Q322: fueled by bariatric surgery , cholecystectomy, hernia repair Q422: areas of strength included bariatric surgery , cholecystectomy, and hernia repair As late as January 2023, Intuitive spoke of a bright future for bariatrics: While still in the early stages of adoption in the U.S., robotic-assisted bariatric surgery has been one of the fastest-growing procedures in general surgery for Intuitive. -Intuitive Surgical, January 2023 (Q4'22 earnings call) The first time anything seemed off - and only to most perceptive of sleuths - was April 2023, at the Q123 earnings call

The procedure itself involves a single injection

Reference: Kusminski, Christine M., et al

Increased risk of type 2 diabetes in antidepressant users: evidence from a 6-year longitudinal study in the E3N cohort