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After at least three months of suprapubic diversion, the pelvic haematoma is nearly always resolved, the prostate has descended into a more anatomical position, the scar tissue has stabilised [289], and the patient is clinically stable and able to lie down in the lithotomy position [259, 289]

Track three indicators: appetite changes (reduced hunger and earlier satiety), weight loss trajectory ( most patients notice effects within 2-4 weeks ), and metabolic markers (if your provider monitors labs)

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