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In accordance to Swiss guidelines [21], we included individuals with a Body Mass Index (BMI) 35 kg/m 2 who had not responded to conservative treatment for two years

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Flow cytometry confirmed the expression of mesenchymal stem cell surface markers including CD29, CD44, CD73, CD90, and CD105, as well as pluripotency markers such as Oct3/4, Sox-2, and SSEA-4 [1]

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