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Weight management programmes generally cost less than £20,000/QALY and bariatric surgery, though costly, was the most effective and cost-effective strategy over a 30-year time horizon.

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Alison Avenell 1,*, Clare Robertson 1, Zoë Skea 1, Elisabet Jacobsen 2, Dwayne Boyers 2, David Cooper 1, Magaly Aceves-Martins 1, Lise Retat 3, Cynthia Fraser 1, Paul Aveyard 4, Fiona Stewart 1, Graeme MacLennan 1, Laura Webber 3, Emily Corbould 3, Benshuai Xu 3, Abbygail Jaccard 3, Bonnie Boyle 1, Eilidh Duncan 1, Michal Shimonovich 1, Marijn de Bruin 5

1 Health Services Research Unit, University of Aberdeen, Aberdeen, UK
2 Health Economics Research Unit, University of Aberdeen, Aberdeen, UK
3 UK Health Forum, London, UK
4 Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK
5 Health Psychology, University of Aberdeen, Aberdeen, UK
* Corresponding author Email:

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