cialis pills The most notable changes that occur following VSG surgery in obese patients is a significant remission in obesity related diseases including type 2 diabetes T2D 14, 15, Non alcoholic fatty liver NAFLD 16, 17, chronic kidney disease 18, cardiovascular disease 19, obstructive sleep apnea 20, as well as non obesity related diseases such as gout, musculoskeletal problems, ovarian disorders and urinary incontinence 21