James Hewes, a Bristol consultant surgeon who also specialises in obesity and bariatric surgery, acknowledged that weight loss injections had "transformed the way that we manage people living with obesity".
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但在1993年藤森宪法中，这一概念未被明确定义。在政党碎片化与政治极化背景下，自2016年以来，它逐渐演变为国会弹劾总统的常规工具。条文未改，含义却已改变，这成为秘鲁制度危机的重要法律根源之一。