Roux-en-Y Gastric Bypass Tijuana

A balloon for obesity: an option between medication and surgery?

or many struggling with obesity, taking one of the newly approved prescription medications for weight loss (marketed as Qsymia, Belviq and Contrave) feels like climbing a mountain with a walking cane — it’s a little help, but not enough.

And bariatric surgery — a permanent replumbing of the intestinal tract that is expensive and carries the risks of major surgery — feels like a bit too much help.

Read more about it on our blog: http://bit.ly/2q6KcxO

Dr. Alejandro Lopez has been performing Weight Loss Surgery for over 12 years. At Alo Bariatrics we take pride in the care that we provide to our Patients. To setup a Private Consultation with Dr. Lopez about your Weight Loss Procedure call today at 844-461-2831 or visit our website at http://bit.ly/2jfXNOE

A balloon for obesity: an option between medication and surgery? or many struggling with obesity, taking one of the newly approved prescription medications for weight loss (marketed as Qsymia, Belviq and Contrave) feels like climbing a mountain with a walking cane — it's a little help, but not enough. And bariatric surgery — a permanent replumbing of the intestin...

Weight-loss surgery can help obese people get back on track with their diabetes

Linda Fairchild, 62, tried many diets — Atkins, Weight Watchers, liquid shakes —but she couldn’t lose a single pound.

Diagnosed with pancreatitis in 2001 and showing symptoms of both Type 1 and 2 diabetes in 2003, Fairchild found herself taking an increasing amount of insulin every year, while gaining more weight than her 5-foot-3 body could handle.

Read more about it on my blog: http://bit.ly/2p4HbzF

Dr. Alejandro Lopez has been performing Weight Loss Surgery for over 12 years. At Alo Bariatrics we take pride in the care that we provide to our Patients. To setup a Private Consultation with Dr. Lopez about your Weight Loss Procedure call today at 844-461-2831 or visit our website at http://bit.ly/2jfXNOE

Weight-loss surgery can help obese people get back on track with their diabetes Linda Fairchild, 62, tried many diets — Atkins, Weight Watchers, liquid shakes —but she couldn’t lose a single pound. Diagnosed with pancreatitis in 2001 and showing symptoms of both Type 1 and 2 diabetes in 2003, Fairchild found herself taking an increasing amount of insulin every year, while gaini...

Too many women gain too much weight during pregnancy, CDC says

pregnant woman eats for two, as the saying goes. But in the United States, a lot of them are eating for three or more.

A new study from the Centers for Disease Control and Prevention finds that nearly half of the pregnant women in American gain too much weight during their pregnancies. Women who are overweight or obese before they become pregnant are most likely to add too many additional pounds during those crucial nine months.

Read more about it on our blog: http://bit.ly/2oxnW35

Dr. Alejandro Lopez has been performing Weight Loss Surgery for over 12 years. At Alo Bariatrics we take pride in the care that we provide to our Patients. To setup a Private Consultation with Dr. Lopez about your Weight Loss Procedure call today at 844-461-2831 or visit our website at http://bit.ly/2jfXNOE

Too many women gain too much weight during pregnancy, CDC says pregnant woman eats for two, as the saying goes. But in the United States, a lot of them are eating for three or more. A new study from the Centers for Disease Control and Prevention finds that nearly half of the pregnant women in American gain too much weight during their pregnancies. Women

It’s well-known that type 2 diabetes can cause medical complications in certain organs, including the brain.

But overweight and obese people with early-stage type 2 diabetes have more severe abnormalities in brain structure and cognition than normal-weight people with type 2 diabetes, according to a new study in Diabetologia, the journal of the European Association for the Study of Diabetes.

Having type 2 diabetes and being overweight, then, can combine to have a greater effect on brain structures.

Read more about it on my blog: http://bit.ly/2pPOw7v

Dr. Alejandro Lopez has been performing Weight Loss Surgery for over 12 years. At Alo Bariatrics we take pride in the care that we provide to our Patients. To setup a Private Consultation with Dr. Lopez about your Weight Loss Procedure call today at 844-461-2831 or visit our website at http://bit.ly/2jfXNOE

Diabetes, weight can combine to alter brain, study says It's well-known that type 2 diabetes can cause medical complications in certain organs, including the brain. But overweight and obese people with early-stage type 2 diabetes have more severe abnormalities in brain structure and cognition than normal-weight people with type 2 diabetes, according to a...

Weight-loss surgery may reduce depression in some patients, study suggests

For some severely obese patients, a new study hints that bariatric surgery might potentially do good for both body and mind.

Patients seeking and undergoing such weight-loss procedures were more likely to suffer from depression and binge-eating than the general population — but those with depression often saw their mental health improve after surgery, a new UCLA-led paper shows.

Read more about it on my blog: http://bit.ly/2qfoU0j

Dr. Alejandro Lopez has been performing Weight Loss Surgery for over 12 years. At Alo Bariatrics we take pride in the care that we provide to our Patients. To setup a Private Consultation with Dr. Lopez about your Weight Loss Procedure call today at 844-461-2831 or visit our website at http://bit.ly/2jfXNOE

Weight-loss surgery may reduce depression in some patients, study suggests For some severely obese patients, a new study hints that bariatric surgery might potentially do good for both body and mind. Patients seeking and undergoing such weight-loss procedures were more likely to suffer from depression and binge-eating than the general population -- but those with depressio...

This Woman’s Impressive 150-Pound Weight Loss

Shedding some serious pounds can make you look and feel like an entirely new person.

Case in point: Beth Beard.

After Beth made the decision to have gastric bypass surgery, she wanted to create a series of photos to celebrate her drastic body transformation.

Read more about it on my blog: http://bit.ly/2qflUks

Dr. Alejandro Lopez has been performing Weight Loss Surgery for over 12 years. At Alo Bariatrics we take pride in the care that we provide to our Patients. To setup a Private Consultation with Dr. Lopez about your Weight Loss Procedure call today at 844-461-2831 or visit our website at http://bit.ly/2jfXNOE

This Woman’s Impressive 150-Pound Weight Loss Shedding some serious pounds can make you look and feel like an entirely new person. Case in point: Beth Beard. After Beth made the decision to have gastric bypass surgery, she wanted to create a series of photos to celebrate her drastic body transformation. So, she teamed up with photographer Blake...

What Is Bariatric Surgery, and How Does It Work?

Bariatric surgery is an option that obesity medicine specialists say is too often ignored or dismissed.

Yet it is the only option that almost always works to help very heavy people lose a lot of weight and that also can mysteriously make some chronic conditions vanish.

Here are some answers about bariatric surgery and what it does: http://bit.ly/2op1au7

Dr. Alejandro Lopez has been performing Weight Loss Surgery for over 12 years. At Alo Bariatrics we take pride in the care that we provide to our Patients. To setup a Private Consultation with Dr. Lopez about your Weight Loss Procedure call today at 844-461-2831 or visit our website at http://bit.ly/2jfXNOE

What Is Bariatric Surgery, and How Does It Work? Bariatric surgery is an option that obesity medicine specialists say is too often ignored or dismissed. Yet it is the only option that almost always works to help very heavy people lose a lot of weight and that also can mysteriously make some chronic conditions vanish. Here are some answers about ba...

Gastric bypass surgery an option for obese teens

When Amanda Rodriguez was in high school, she was one of the few students who had a key to the school elevator. At 292 pounds, she couldn’t walk up the stairs.

“It was really embarrassing and it took a toll on my mental state,” said Amanda. “I was just really unhappy with myself.”

Read more about it on our blog: http://bit.ly/2oKe1Cb

Dr. Alejandro Lopez has been performing Weight Loss Surgery for over 12 years. At Alo Bariatrics we take pride in the care that we provide to our Patients. To setup a Private Consultation with Dr. Lopez about your Weight Loss Procedure call today at 844-461-2831 or visit our website at http://bit.ly/2jfXNOE

Gastric bypass surgery an option for obese teens When Amanda Rodriguez was in high school, she was one of the few students who had a key to the school elevator. At 292 pounds, she couldn’t walk up the stairs. “It was really embarrassing and it took a toll on my mental state,” said Amanda. “I was just really unhappy with myself.” After both her par...

Can Gastric Sleeve Surgery Help Hinder Binge Eating?

If a surgery could cure alcoholism or he**in addiction, wouldn’t it be celebrated as a breakthrough? Even if it weren’t 100-percent effective, the procedures would be embraced as new hope in the battle to end suffering and save lives.

So why is bariatric surgery any different?

Find out on our blog here: http://bit.ly/2pYHP2U

Dr. Alejandro Lopez has been performing Weight Loss Surgery for over 12 years. At Alo Bariatrics we take pride in the care that we provide to our Patients. To setup a Private Consultation with Dr. Lopez about your Weight Loss Procedure call today at 844-461-2831 or visit our website at http://bit.ly/2jfXNOE

Can Gastric Sleeve Surgery Help Hinder Binge Eating? If a surgery could cure alcoholism or he**in addiction, wouldn’t it be celebrated as a breakthrough? Even if it weren’t 100-percent effective, the procedures would be embraced as new hope in the battle to end suffering and save lives. So why is bariatric surgery any different? Because people blame o...

Weight loss surgery tied to Lower risk of heart failure

Obese people who get surgery to lose weight have half the risk of developing heart failure as do patients who make lifestyle changes to shed excess pounds, a recent study suggests.

The study team examined data on 25,805 obese people who had gastric bypass surgery, which reduces the stomach to a small pouch, and 13,701 patients who were put on low-calorie diets. Following half of the patients for at least four years, people who had gastric bypass were found to be 46 percent less likely to have developed heart failure.

Read more about it on our blog: http://bit.ly/2peDSGp

Dr. Alejandro Lopez has been performing Weight Loss Surgery for over 12 years. At Alo Bariatrics we take pride in the care that we provide to our Patients. To setup a Private Consultation with Dr. Lopez about your Weight Loss Procedure call today at 844-461-2831 or visit our website at http://bit.ly/2jfXNOE

Lower Risk of Heart Failure, Tied to Weight Loss Surgery Obese people who get surgery to lose weight have half the risk of developing heart failure as do patients who make lifestyle changes to shed excess pounds, a recent study suggests. “We were surprised by the large difference in heart failure incidence between the two groups,” said lead study author J...

Is Weight-Loss Surgery for You?

A few years ago, I saw a patient whose obesity had led to such poor liver function that her doctor referred her for the national transplant waiting list. She needed to lose weight and lose it now.

Following weight loss surgery, her liver function eventually returned to normal, and she was taken off the transplant list. Her diabetes and high blood pressure also resolved, and she feels like a new person today.

For the right candidates, weight-loss surgery—also known as bariatric surgery—can yield remarkable health benefits, and even be lifesaving.

Read more about it on our blog: http://bit.ly/2ptDJjv

Dr. Alejandro Lopez has been performing Weight Loss Surgery for over 12 years. At Alo Bariatrics we take pride in the care that we provide to our Patients. To setup a Private Consultation with Dr. Lopez about your Weight Loss Procedure call today at 844-461-2831 or visit our website at http://bit.ly/2jfXNOE

Is Weight Loss Surgery for You? Is Weight-Loss Surgery for You? A few years ago, I saw a patient whose obesity had led to such poor liver function that her doctor referred her for the national transplant waiting list. She needed to lose weight and lose it now. Following weight loss surgery,

How to deal with extra skin after major weight loss surgery

People aren’t necessarily talking about the fact that big-time weight loss – think 50 to hundreds of pounds – inevitably leaves people with saggy extra skin, no matter how many miles they run or broccoli florets they eat.

Fortunately, there are options to deal with unwanted skin, although they aren’t cheap, easy or perfect. “Most people … are under the illusion that there’s some magic pill – usually a cream or something you can do, like shrink-wrap yourself.

To figure out what will work best for you, start with these expert tips: http://bit.ly/2ptzkgk

Dr. Alejandro Lopez has been performing Weight Loss Surgery for over 12 years. At Alo Bariatrics we take pride in the care that we provide to our Patients. To setup a Private Consultation with Dr. Lopez about your Weight Loss Procedure call today at 844-461-2831 or visit our website at http://bit.ly/2jfXNOE

How to Deal With Extra Skin After Major Weight Loss More and more people are seeking methods to remove extra skin and reshape the body after they lose significant weight, particularly because the development of gastric bypass surgery has made sustainable weight loss more achievable, says Dr. Jennifer Capla, a plastic surgeon in New York City who spec...

Understanding Adult Overweight and Obesity and BMI

When we eat more calories than we burn, our bodies store this extra energy as fat. While a few extra pounds may not seem like a big deal, they can increase your chances of having high blood pressure and high blood sugar. These conditions may lead to serious health problems, including heart disease, stroke, type 2 diabetes, and certain cancers.

Today, more than two-thirds of adults in the United States are considered to be overweight or obese. More than one-third of adults have obesity.

Read more about it on my blog: http://bit.ly/2p0o3Dd

Dr. Alejandro Lopez has been performing Weight Loss Surgery for over 12 years. At Alo Bariatrics we take pride in the care that we provide to our Patients. To setup a Private Consultation with Dr. Lopez about your Weight Loss Procedure call today at 844-461-2831 or visit our website at http://bit.ly/2jfXNOE

Understanding Adult Overweight and Obesity and BMI When we eat more calories than we burn, our bodies store this extra energy as fat. While a few extra pounds may not seem like a big deal, they can increase your chances of having high blood pressure and high blood sugar. These conditions may lead to serious health problems, including heart disease,…

Definition and Facts for Bariatric Surgery & obesity

What is obesity?

Obesity is defined as having a body mass index (BMI) of 30 or more. BMI is a measure of your weight in relation to your height. Class 1 obesity means a BMI of 30 to 35, Class 2 obesity is a BMI of 35 to 40, and Class 3 obesity is a BMI of 40 or more. Classes 2 and 3, also known as severe obesity, are often hard to treat with diet and exercise alone.

Read more about it on my blog: http://bit.ly/2pHWAUN

Dr. Alejandro Lopez has been performing Weight Loss Surgery for over 12 years. At Alo Bariatrics we take pride in the care that we provide to our Patients. To setup a Private Consultation with Dr. Lopez about your Weight Loss Procedure call today at 844-461-2831 or visit our website at http://bit.ly/2jfXNOE

Definition and Facts for Bariatric Surgery & obesity What is obesity? Obesity is defined as having a body mass index (BMI) of 30 or more. BMI is a measure of your weight in relation to your height. Class 1 obesity means a BMI of 30 to 35, Class 2 obesity is a BMI of 35 to 40, and Class 3 obesity is a BMI

Gastric bypass helps severely obese teenagers maintain weight loss over long term

Gastric bypass surgery helps severely obese teenagers lose weight and keep it off, according to the first long-term follow-up studies of teenagers who had undergone the procedure 5-12 years earlier. However, the two studies, published in The Lancet Diabetes & Endocrinology, show some patients will likely need further surgery to deal with the complications of rapid weight loss or may develop vitamin deficiencies later in life.

Severe obesity is classified as having a BMI of 40 or over (around 100 pounds overweight) and affects around 4.6 million children and teenagers in the USA. Obesity causes ill health, poor quality of life and cuts life expectancy.

Read more about it on my blog: http://bit.ly/2p3lBfO

Dr. Alejandro Lopez has been performing Weight Loss Surgery for over 12 years. At Alo Bariatrics we take pride in the care that we provide to our Patients. To setup a Private Consultation with Dr. Lopez about your Weight Loss Procedure call today at 844-461-2831 or visit our website at http://bit.ly/2jfXNOE

Gastric bypass helps severely obese teenagers maintain weight loss over long term Gastric bypass surgery helps severely obese teenagers lose weight and keep it off, according to the first long-term follow-up studies of teenagers who had undergone the procedure 5-12 years earlier. However, the two studies, published in The Lancet Diabetes & Endocrinology, show some patients will l...

Roux-en-Y Gastric Bypass Tijuana

Weight-Loss Surgery Leads to Diabetes Remission

Gastric bypass surgery may treat type 2 diabetes in selected patients.

Weight loss surgery has shown more effectiveness in patients with type 2 diabetes (T2D) who underwent gastric bypass surgery resulting in better insulin production in 6 months to a year without the need of further medication. This is rationalized due to dramatic weight loss and calorie cutting along after surgery. Thus, comprehending why gastric bypass is the most effective “metabolic surgery” to treat diabetes, why obese patients are noticeably less hungry post weight-loss surgery, and why improvement in diabetes after surgery may experience worsening within a matter of years are important considerations to account.

Read more about it on my blog: http://bit.ly/2p3xUJh

Dr. Alejandro Lopez has been performing Weight Loss Surgery for over 12 years. At Alo Bariatrics we take pride in the care that we provide to our Patients. To setup a Private Consultation with Dr. Lopez about your Weight Loss Procedure call today at 844-461-2831 or visit our website at http://bit.ly/2jfXNOE

Weight-Loss Surgery Leads to Diabetes Remission Gastric bypass surgery may treat type 2 diabetes in selected patients. Weight loss surgery has shown more effectiveness in patients with type 2 diabetes (T2D) who underwent gastric bypass surgery resulting in better insulin production in 6 months to a year without the need of further medication. Thi...

Bariatric surgery can speed weight loss, improve health

For many, weight loss isn’t as easy as following the “eat less, exercise more” philosophy. Genetics, environment, hormonal disorders and other contributing factors can all be impediments to shedding the pounds.

However, advancements and options in bariatric surgeries have made it possible to lose weight while improving overall health for countless patients.

Read more about it on my blog: http://bit.ly/2ocko1L

Dr. Alejandro Lopez has been performing Weight Loss Surgery for over 12 years. At Alo Bariatrics we take pride in the care that we provide to our Patients. To setup a Private Consultation with Dr. Lopez about your Weight Loss Procedure call today at 844-461-2831 or visit our website at http://bit.ly/2jfXNOE

Bariatric surgery can speed weight loss, improve health For many, weight loss isn’t as easy as following the “eat less, exercise more” philosophy. Genetics, environment, hormonal disorders and other contributing factors can all be impediments to shedding the pounds. However, advancements and options in bariatric surgeries have made it possible to lose we...

Roux-en-Y Gastric Bypass Tijuana

Bariatric Surgery May Improve Pregnancy Outcomes

Bariatric surgery before pregnancy in obese women can reduce their risks for cesarean delivery and adverse neonatal outcomes, new research shows.

Results from a systematic review and meta-analysis involving more than 350,000 women, including nearly 11,000 who had undergone bariatric surgery, were presented here at the American College of Surgeons Clinical Congress 2016 by fourth-year medical students Brittanie Young, MS, and Samantha Drew from the Philadelphia College of Osteopathic Medicine (PCOM), Pennsylvania, and colleagues.

Read more about it on my blog: http://bit.ly/2piL3Lw

Dr. Alejandro Lopez has been performing Weight Loss Surgery for over 12 years. At Alo Bariatrics we take pride in the care that we provide to our Patients. To setup a Private Consultation with Dr. Lopez about your Weight Loss Procedure call today at 844-461-2831 or visit our website at http://bit.ly/2jfXNOE

Bariatric Surgery May Improve Pregnancy Outcomes Bariatric surgery before pregnancy in obese women can reduce their risks for cesarean delivery and adverse neonatal outcomes, new research shows. Results from a systematic review and meta-analysis involving more than 350,000 women, including nearly 11,000 who had undergone bariatric surgery, were pr...

Roux-en-Y Gastric Bypass Tijuana

Gastric Bypass Surgery Benefits

There is much to be said for gastric bypass surgery and its success. Many people that undergo the procedure find that they are able to see results rapidly. Gastric bypass surgery is often the best solution for those that need a little help getting back on track.

A combination of the surgery, proper diet and the appropriate exercise plan can provide you with everything that you need to get started toward the goal of looking and feeling better. For some weight loss isn’t just about looking great, but is about being healthy.

Life threatening illnesses such as diabetes, heart condition and gastroesophageal reflux disease can be made worse with added weight.

Read more about it on our blog: http://bit.ly/2o0EP1M

This article came from Mexico Bariatric Surgery Guide

Dr. Alejandro Lopez has been performing Weight Loss Surgery for over 12 years. At Alo Bariatrics we take pride in the care that we provide to our Patients. To setup a Private Consultation with Dr. Lopez about your Weight Loss Procedure call today at 844-461-2831 or visit our website at http://bit.ly/2jfXNOE

Gastric Bypass Surgery Benefits There is much to be said for gastric bypass surgery and its success. Many people that undergo the procedure find that they are able to see results rapidly. Gastric bypass surgery is often the best solution for those that need a little help getting back on track. A combination of the surgery, proper…

Mini Gastric Bypass Surgery Guide

The mini gastric bypass (MGB) is a short and effective weight loss procedure that is gradually gaining in popularity.

Prior to the development of the mini gastric bypass, Roux-en-Y gastric bypass surgery (RNY) was the laparoscopic bypass surgery of choice. But many surgeons and patients believe the MGB is a great alternative. It uses a long narrow tube that is typically connected to the esophagus, moving it to the small intestine.

From beginning to end, the surgery takes an hour or less, with patients leaving the hospital the following day. It still ahs the same successful weight loss, but with less side effects, a faster recovery, and a less invasive procedure included.

Read more about it on our blog: http://bit.ly/2okalse

This article came from Mexico Bariatric Surgery Guide

Dr. Alejandro Lopez has been performing Weight Loss Surgery for over 12 years. At Alo Bariatrics we take pride in the care that we provide to our Patients. To setup a Private Consultation with Dr. Lopez about your Weight Loss Procedure call today at 844-461-2831 or visit our website at http://bit.ly/2jfXNOE

Mini Gastric Bypass Surgery Guide The mini gastric bypass (MGB) is a short and effective weight loss procedure that is gradually gaining in popularity. Prior to the development of the mini gastric bypass, Roux-en-Y gastric bypass surgery (RNY) was the laparoscopic bypass surgery of choice. But many surgeons and patients believe the…

Gastric Sleeve Post-Operative Diet

After gastric sleeve surgery is performed, a patient’s stomach can only consume 3 to 4 ounces of food, down from the average of 60 ounces a stomach typically can hold. In order to have a successful overall experience, the patient must follow a strict diet plan immediately after surgery.

In conjunction with the proper diet, a patient should take several vitamins – a multivitamin with iron, Calcium (1,500 to 2,000 mg), Vitamin D and maybe even B complex.

Read more about it on our blog: http://bit.ly/2oYcH2M

This article came from Mexico Bariatric Surgery Guide

Dr. Alejandro Lopez has been performing Weight Loss Surgery for over 12 years. At Alo Bariatrics we take pride in the care that we provide to our Patients. To setup a Private Consultation with Dr. Lopez about your Weight Loss Procedure call today at 844-461-2831 or visit our website at http://bit.ly/2jfXNOE

Gastric Sleeve Post-Operative Diet After gastric sleeve surgery is performed, a patient’s stomach can only consume 3 to 4 ounces of food, down from the average of 60 ounces a stomach typically can hold. In order to have a successful overall experience, the patient must follow a strict diet plan immediately after surgery. In conjuncti...

Roux-en-Y Gastric Bypass Tijuana

Weight Loss Surgery Update

Obesity in the United States in general has been increasing over the past 20 years: more than one-third of adults and 17 percent of youth are obese.

A recent study put out by Excellus, based on data from the New York State Department of Health, gives a more regional perspective. The study concluded that 27.5 percent of the people living in upstate New York are obese.

Read more about it on our blog: http://bit.ly/2oeEJGx

Dr. Alejandro Lopez has been performing Weight Loss Surgery for over 12 years. At Alo Bariatrics we take pride in the care that we provide to our Patients. To setup a Private Consultation with Dr. Lopez about your Weight Loss Procedure call today at 844-461-2831 or visit our website at http://bit.ly/2jfXNOE

Weight Loss Surgery Update Obesity in the United States in general has been increasing over the past 20 years: more than one-third of adults and 17 percent of youth are obese. A recent study put out by Excellus, based on data from the New York State Department of Health, gives a more regional perspective. The study concluded…

Weight loss surgery may reduce risk of developing gout

Obese people who have weight loss surgeries like gastric bypass are much less likely than those who don’t have surgery to develop gout, a painful type of arthritis, according to a Swedish study.

People who chose to get weight loss surgery are also less than half as likely to develop hyperuricemia, too much uric acid in urine, which can be a precursor to gout, the study team writes.

Read more about it on our blog: http://bit.ly/2nIE4sV

Dr. Alejandro Lopez has been performing Weight Loss Surgery for over 12 years. At Alo Bariatrics we take pride in the care that we provide to our Patients. To setup a Private Consultation with Dr. Lopez about your Weight Loss Procedure call today at 844-461-2831 or visit our website at http://bit.ly/2jfXNOE

Weight loss surgery may reduce risk of developing gout Obese people who have weight loss surgeries like gastric bypass are much less likely than those who don't have surgery to develop gout, a painful type of arthritis, according to a Swedish study. People who chose to get weight loss surgery are also less than half as likely to develop hyperuricemia, t...