A busca pelo emagrecimento r\u00e1pido ganhou um novo cap\u00edtulo com a populariza\u00e7\u00e3o global dos medicamentos injet\u00e1veis de \u00faltima gera\u00e7\u00e3o, que imitam horm\u00f4nios metab\u00f3licos (como os agonistas de GLP-1, GIP e glucagon). Com o avan\u00e7o das pesquisas e a chegada de subst\u00e2ncias potentes como a tirzepatida e a retatrutida, o debate p\u00fablico e m\u00e9dico ganhou for\u00e7a: afinal, as canetas emagrecedoras representam o fim da cirurgia bari\u00e1trica? O tema reacendeu discuss\u00f5es nas redes sociais, com alertas sobre o uso indiscriminado, os riscos \u00e0 sa\u00fade e o temido efeito rebote.
Dados recentes indicam um reflexo direto dessa “febre” farmacol\u00f3gica nos consult\u00f3rios. Em levantamentos sobre a medicina metab\u00f3lica no Brasil, a procura por tratamentos medicamentosos de alta performance registrou um aumento expressivo de quase 90%, enquanto o n\u00famero total de cirurgias bari\u00e1tricas realizadas apresentou uma queda de aproximadamente 18%. Pacientes que antes tinham indica\u00e7\u00e3o cir\u00fargica expressiva passaram a adiar ou substituir o procedimento invasivo pelas aplica\u00e7\u00f5es semanais.
No entanto, cirurgi\u00f5es bari\u00e1tricos, endocrinologistas e nutricionistas fazem um alerta importante: os rem\u00e9dios n\u00e3o anulam a necessidade da cirurgia para todos os casos e n\u00e3o funcionam como um milagre definitivo. Embora medicamentos como a tirzepatida demonstrem redu\u00e7\u00f5es expressivas de peso corporal nos estudos cl\u00ednicos, a interrup\u00e7\u00e3o do tratamento sem uma mudan\u00e7a real de estilo de vida costuma trazer o peso de volta de forma acelerada \u2014 o chamado efeito rebote.
Diferente da cirurgia bari\u00e1trica, que promove uma altera\u00e7\u00e3o anat\u00f4mica e metab\u00f3lica permanente no trato digestivo, os horm\u00f4nios sint\u00e9ticos deixam de atuar no organismo assim que o paciente interrompe o uso das canetas. Especialistas tamb\u00e9m apontam para o risco da perda de massa magra (m\u00fasculos) caso o emagrecimento r\u00e1pido n\u00e3o venha acompanhado de uma ingest\u00e3o proteica adequada e de treinos de for\u00e7a. Efeitos colaterais gastrointestinais frequentes, como n\u00e1useas e constipa\u00e7\u00e3o grave, al\u00e9m do alto custo financeiro para manter a medica\u00e7\u00e3o a longo prazo de forma cont\u00ednua, s\u00e3o outros obst\u00e1culos reais enfrentados pelos usu\u00e1rios.
A ci\u00eancia m\u00e9dica refor\u00e7a que a obesidade \u00e9 uma doen\u00e7a cr\u00f4nica e multifatorial. Portanto, tanto as novas terapias injet\u00e1veis quanto o procedimento cir\u00fargico exigem o mesmo pilar: acompanhamento m\u00e9dico rigoroso, reeduca\u00e7\u00e3o alimentar e a pr\u00e1tica consistente de atividades f\u00edsicas. A medicina n\u00e3o enxerga os novos medicamentos como inimigos da bari\u00e1trica, mas sim como ferramentas complementares individualizadas para cada perfil de paciente.<\/p>\n","protected":false},"excerpt":{"rendered":"
A busca pelo emagrecimento r\u00e1pido ganhou um novo cap\u00edtulo com a populariza\u00e7\u00e3o global dos medicamentos injet\u00e1veis de \u00faltima gera\u00e7\u00e3o, que imitam horm\u00f4nios metab\u00f3licos (como os […]<\/p>\n","protected":false},"author":1,"featured_media":11004,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"googlesitekit_rrm_CAowsargCw:productID":"","_crdt_document":"{\"document\":\"AAAG7K+lhB1GNwYDAggEAwUYAQcaAgEBCABIAgi2A8AEkFUBAQgCQkj+VZBXsAOEUuitAQMADAQDAAQCBAgi0gEKCAQDAAwEAwAEAj8oASEAJwAEAIQMJwEoBicAKAsnAAcAKAInASgAJwCoAAQAhACHACgCJwEEACgAJwAEAIEAhACBAEQAxAiEAKj0MZ8xc3RhdGV2ZXJzaW9uZG9jdW1lbnRkYXRlZG9jdW1lbnRzdGF0dXNkb2N1bWVudHRpdGxlUmFzY3VuaG8gYXV0b23DoXRpY29kb2N1bWVudGNvbnRlbnRkb2N1bWVudGV4Y2VycHRkb2N1bWVudGF1dGhvcmRvY3VtZW50ZmVhdHVyZWRfbWVkaWFkb2N1bWVudGNvbW1lbnRfc3RhdHVzZG9jdW1lbnRwaW5nX3N0YXR1c2RvY3VtZW50c3RpY2t5ZG9jdW1lbnR0ZW1wbGF0ZWRvY3VtZW50Zm9ybWF0ZG9jdW1lbnRtZXRhZ29vZ2xlc2l0ZWtpdF9ycm1fQ0Fvd3NhcmdDdzpwcm9kdWN0SURhZHZhbmNlZF9zZW9fZGVzY3JpcHRpb25qZXRwYWNrX3Nlb19odG1sX3RpdGxlamV0cGFja19zZW9fbm9pbmRleF9qZXRwYWNrX21lbWJlcnNoaXBzX2NvbnRhaW5zX3BhaWRfY29udGVudGZvb3Rub3Rlc2pldHBhY2tfcHVibGljaXplX21lc3NhZ2VqZXRwYWNrX3B1YmxpY2l6ZV9mZWF0dXJlX2VuYWJsZWRqZXRwYWNrX3NvY2lhbF9wb3N0X2FscmVhZHlfc2hhcmVkamV0cGFja19zb2NpYWxfb3B0aW9uc2RvY3VtZW50Y2F0ZWdvcmllc2RvY3VtZW50dGFnc2RvY3VtZW50YmxvY2tzY2xpZW50SWRpc1ZhbGlkbmFtZWF0dHJpYnV0ZXNjb250ZW50ZHJvcENhcGlubmVyQmxvY2tzw4kgbyBmaW0gZGEgYmFyacOhdHJpY2E\/IEVzcGVjaWFsaXN0YXMgYWxlcnRhbSBzb2JyZSBvcyBsaW1pdGVzIGRhcyBub3ZhcyBjYW5ldGFzIGVtYWdyZWNlZG9yYXMgZSBvIHJpc2NvIGRvIGVmZWl0byByZWJvdGU8YnI+QSBidXNjYSBwZWxvIGVtYWdyZWNpbWVudG8gcsOhcGlkbyBnYW5ob3UgdW0gbm92byBjYXDDrXR1bG8gY29tIGEgcG9wdWxhcml6YcOnw6NvIGdsb2JhbCBkb3MgbWVkaWNhbWVudG9zIGluamV0w6F2ZWlzIGRlIMO6bHRpbWEgZ2VyYcOnw6NvLCBxdWUgaW1pdGFtIGhvcm3DtG5pb3MgbWV0YWLDs2xpY29zIChjb21vIG9zIGFnb25pc3RhcyBkZSBHTFAtMSwgR0lQIGUgZ2x1Y2Fnb24pLiBDb20gbyBhdmFuw6dvIGRhcyBwZXNxdWlzYXMgZSBhIGNoZWdhZGEgZGUgc3Vic3TDom5jaWFzIHBvdGVudGVzIGNvbW8gYSB0aXJ6ZXBhdGlkYSBlIGEgcmV0YXRydXRpZGEsIG8gZGViYXRlIHDDumJsaWNvIGUgbcOpZGljbyBnYW5ob3UgZm9yw6dhOiBhZmluYWwsIGFzIGNhbmV0YXMgZW1hZ3JlY2Vkb3JhcyByZXByZXNlbnRhbSBvIGZpbSBkYSBjaXJ1cmdpYSBiYXJpw6F0cmljYT8gTyB0ZW1hIHJlYWNlbmRldSBkaXNjdXNzw7VlcyBuYXMgcmVkZXMgc29jaWFpcywgY29tIGFsZXJ0YXMgc29icmUgbyB1c28gaW5kaXNjcmltaW5hZG8sIG9zIHJpc2NvcyDDoCBzYcO6ZGUgZSBvIHRlbWlkbyBlZmVpdG8gcmVib3RlLjxicj5EYWRvcyByZWNlbnRlcyBpbmRpY2FtIHVtIHJlZmxleG8gZGlyZXRvIGRlc3NhICJmZWJyZSIgZmFybWFjb2zDs2dpY2Egbm9zIGNvbnN1bHTDs3Jpb3MuIEVtIGxldmFudGFtZW50b3Mgc29icmUgYSBtZWRpY2luYSBtZXRhYsOzbGljYSBubyBCcmFzaWwsIGEgcHJvY3VyYSBwb3IgdHJhdGFtZW50b3MgbWVkaWNhbWVudG9zb3MgZGUgYWx0YSBwZXJmb3JtYW5jZSByZWdpc3Ryb3UgdW0gYXVtZW50byBleHByZXNzaXZvIGRlIHF1YXNlIDkwJSwgZW5xdWFudG8gbyBuw7ptZXJvIHRvdGFsIGRlIGNpcnVyZ2lhcyBiYXJpw6F0cmljYXMgcmVhbGl6YWRhcyBhcHJlc2VudG91IHVtYSBxdWVkYSBkZSBhcHJveGltYWRhbWVudGUgMTglLiBQYWNpZW50ZXMgcXVlIGFudGVzIHRpbmhhbSBpbmRpY2HDp8OjbyBjaXLDunJnaWNhIGV4cHJlc3NpdmEgcGFzc2FyYW0gYSBhZGlhciBvdSBzdWJzdGl0dWlyIG8gcHJvY2VkaW1lbnRvIGludmFzaXZvIHBlbGFzIGFwbGljYcOnw7VlcyBzZW1hbmFpcy48YnI+Tm8gZW50YW50bywgY2lydXJnacO1ZXMgYmFyacOhdHJpY29zLCBlbmRvY3Jpbm9sb2dpc3RhcyBlIG51dHJpY2lvbmlzdGFzIGZhemVtIHVtIGFsZXJ0YSBpbXBvcnRhbnRlOiBvcyByZW3DqWRpb3MgbsOjbyBhbnVsYW0gYSBuZWNlc3NpZGFkZSBkYSBjaXJ1cmdpYSBwYXJhIHRvZG9zIG9zIGNhc29zIGUgbsOjbyBmdW5jaW9uYW0gY29tbyB1bSBtaWxhZ3JlIGRlZmluaXRpdm8uIEVtYm9yYSBtZWRpY2FtZW50b3MgY29tbyBhIHRpcnplcGF0aWRhIGRlbW9uc3RyZW0gcmVkdcOnw7VlcyBleHByZXNzaXZhcyBkZSBwZXNvIGNvcnBvcmFsIG5vcyBlc3R1ZG9zIGNsw61uaWNvcywgYSBpbnRlcnJ1cMOnw6NvIGRvIHRyYXRhbWVudG8gc2VtIHVtYSBtdWRhbsOnYSByZWFsIGRlIGVzdGlsbyBkZSB2aWRhIGNvc3R1bWEgdHJhemVyIG8gcGVzbyBkZSB2b2x0YSBkZSBmb3JtYSBhY2VsZXJhZGEg4oCUIG8gY2hhbWFkbyBlZmVpdG8gcmVib3RlLjxicj5EaWZlcmVudGUgZGEgY2lydXJnaWEgYmFyacOhdHJpY2EsIHF1ZSBwcm9tb3ZlIHVtYSBhbHRlcmHDp8OjbyBhbmF0w7RtaWNhIGUgbWV0YWLDs2xpY2EgcGVybWFuZW50ZSBubyB0cmF0byBkaWdlc3Rpdm8sIG9zIGhvcm3DtG5pb3Mgc2ludMOpdGljb3MgZGVpeGFtIGRlIGF0dWFyIG5vIG9yZ2FuaXNtbyBhc3NpbSBxdWUgbyBwYWNpZW50ZSBpbnRlcnJvbXBlIG8gdXNvIGRhcyBjYW5ldGFzLiBFc3BlY2lhbGlzdGFzIHRhbWLDqW0gYXBvbnRhbSBwYXJhIG8gcmlzY28gZGEgcGVyZGEgZGUgbWFzc2EgbWFncmEgKG3DunNjdWxvcykgY2FzbyBvIGVtYWdyZWNpbWVudG8gcsOhcGlkbyBuw6NvIHZlbmhhIGFjb21wYW5oYWRvIGRlIHVtYSBpbmdlc3TDo28gcHJvdGVpY2EgYWRlcXVhZGEgZSBkZSB0cmVpbm9zIGRlIGZvcsOnYS4gRWZlaXRvcyBjb2xhdGVyYWlzIGdhc3Ryb2ludGVzdGluYWlzIGZyZXF1ZW50ZXMsIGNvbW8gbsOhdXNlYXMgZSBjb25zdGlwYcOnw6NvIGdyYXZlLCBhbMOpbSBkbyBhbHRvIGN1c3RvIGZpbmFuY2Vpcm8gcGFyYSBtYW50ZXIgYSBtZWRpY2HDp8OjbyBhIGxvbmdvIHByYXpvIGRlIGZvcm1hIGNvbnTDrW51YSwgc8OjbyBvdXRyb3Mgb2JzdMOhY3Vsb3MgcmVhaXMgZW5mcmVudGFkb3MgcGVsb3MgdXN1w6FyaW9zLjxicj5BIGNpw6puY2lhIG3DqWRpY2EgcmVmb3LDp2EgcXVlIGEgb2Jlc2lkYWRlIMOpIHVtYSBkb2Vuw6dhIGNyw7RuaWNhIGUgbXVsdGlmYXRvcmlhbC4gUG9ydGFudG8sIHRhbnRvIGFzIG5vdmFzIHRlcmFwaWFzIGluamV0w6F2ZWlzIHF1YW50byBvIHByb2NlZGltZW50byBjaXLDunJnaWNvIGV4aWdlbSBvIG1lc21vIHBpbGFyOiBhY29tcGFuaGFtZW50byBtw6lkaWNvIHJpZ29yb3NvLCByZWVkdWNhw6fDo28gYWxpbWVudGFyIGUgYSBwcsOhdGljYSBjb25zaXN0ZW50ZSBkZSBhdGl2aWRhZGVzIGbDrXNpY2FzLiBBIG1lZGljaW5hIG7Do28gZW54ZXJnYSBvcyBub3ZvcyBtZWRpY2FtZW50b3MgY29tbyBpbmltaWdvcyBkYSBiYXJpw6F0cmljYSwgbWFzIHNpbSBjb21vIGZlcnJhbWVudGFzIGNvbXBsZW1lbnRhcmVzIGluZGl2aWR1YWxpemFkYXMgcGFyYSBjYWRhIHBlcmZpbCBkZSBwYWNpZW50ZS5jbGllbnRJZGlzVmFsaWRuYW1lYXR0cmlidXRlc2NvbnRlbnRKQkxpdG9yYWxsZXZlbGlubmVyQmxvY2tzPCEtLSB3cDpwYXJhZ3JhcGggLS0+CjxwPjxicj5BIGJ1c2NhIHBlbG8gZW1hZ3JlY2ltZW50byByw6FwaWRvIGdhbmhvdSB1bSBub3ZvIGNhcMOtdHVsbyBjb20gYSBwb3B1bGFyaXphw6fDo28gZ2xvYmFsIGRvcyBtZWRpY2FtZW50b3MgaW5qZXTDoXZlaXMgZGUgw7psdGltYSBnZXJhw6fDo28sIHF1ZSBpbWl0YW0gaG9ybcO0bmlvcyBtZXRhYsOzbGljb3MgKGNvbW8gb3MgYWdvbmlzdGFzIGRlIEdMUC0xLCBHSVAgZSBnbHVjYWdvbikuIENvbSBvIGF2YW7Dp28gZGFzIHBlc3F1aXNhcyBlIGEgY2hlZ2FkYSBkZSBzdWJzdMOibmNpYXMgcG90ZW50ZXMgY29tbyBhIHRpcnplcGF0aWRhIGUgYSByZXRhdHJ1dGlkYSwgbyBkZWJhdGUgcMO6YmxpY28gZSBtw6lkaWNvIGdhbmhvdSBmb3LDp2E6IGFmaW5hbCwgYXMgY2FuZXRhcyBlbWFncmVjZWRvcmFzIHJlcHJlc2VudGFtIG8gZmltIGRhIGNpcnVyZ2lhIGJhcmnDoXRyaWNhPyBPIHRlbWEgcmVhY2VuZGV1IGRpc2N1c3PDtWVzIG5hcyByZWRlcyBzb2NpYWlzLCBjb20gYWxlcnRhcyBzb2JyZSBvIHVzbyBpbmRpc2NyaW1pbmFkbywgb3MgcmlzY29zIMOgIHNhw7pkZSBlIG8gdGVtaWRvIGVmZWl0byByZWJvdGUuPGJyPkRhZG9zIHJlY2VudGVzIGluZGljYW0gdW0gcmVmbGV4byBkaXJldG8gZGVzc2EgImZlYnJlIiBmYXJtYWNvbMOzZ2ljYSBub3MgY29uc3VsdMOzcmlvcy4gRW0gbGV2YW50YW1lbnRvcyBzb2JyZSBhIG1lZGljaW5hIG1ldGFiw7NsaWNhIG5vIEJyYXNpbCwgYSBwcm9jdXJhIHBvciB0cmF0YW1lbnRvcyBtZWRpY2FtZW50b3NvcyBkZSBhbHRhIHBlcmZvcm1hbmNlIHJlZ2lzdHJvdSB1bSBhdW1lbnRvIGV4cHJlc3Npdm8gZGUgcXVhc2UgOTAlLCBlbnF1YW50byBvIG7Dum1lcm8gdG90YWwgZGUgY2lydXJnaWFzIGJhcmnDoXRyaWNhcyByZWFsaXphZGFzIGFwcmVzZW50b3UgdW1hIHF1ZWRhIGRlIGFwcm94aW1hZGFtZW50ZSAxOCUuIFBhY2llbnRlcyBxdWUgYW50ZXMgdGluaGFtIGluZGljYcOnw6NvIGNpcsO6cmdpY2EgZXhwcmVzc2l2YSBwYXNzYXJhbSBhIGFkaWFyIG91IHN1YnN0aXR1aXIgbyBwcm9jZWRpbWVudG8gaW52YXNpdm8gcGVsYXMgYXBsaWNhw6fDtWVzIHNlbWFuYWlzLjxicj5ObyBlbnRhbnRvLCBjaXJ1cmdpw7VlcyBiYXJpw6F0cmljb3MsIGVuZG9jcmlub2xvZ2lzdGFzIGUgbnV0cmljaW9uaXN0YXMgZmF6ZW0gdW0gYWxlcnRhIGltcG9ydGFudGU6IG9zIHJlbcOpZGlvcyBuw6NvIGFudWxhbSBhIG5lY2Vzc2lkYWRlIGRhIGNpcnVyZ2lhIHBhcmEgdG9kb3Mgb3MgY2Fzb3MgZSBuw6NvIGZ1bmNpb25hbSBjb21vIHVtIG1pbGFncmUgZGVmaW5pdGl2by4gRW1ib3JhIG1lZGljYW1lbnRvcyBjb21vIGEgdGlyemVwYXRpZGEgZGVtb25zdHJlbSByZWR1w6fDtWVzIGV4cHJlc3NpdmFzIGRlIHBlc28gY29ycG9yYWwgbm9zIGVzdHVkb3MgY2zDrW5pY29zLCBhIGludGVycnVww6fDo28gZG8gdHJhdGFtZW50byBzZW0gdW1hIG11ZGFuw6dhIHJlYWwgZGUgZXN0aWxvIGRlIHZpZGEgY29zdHVtYSB0cmF6ZXIgbyBwZXNvIGRlIHZvbHRhIGRlIGZvcm1hIGFjZWxlcmFkYSDigJQgbyBjaGFtYWRvIGVmZWl0byByZWJvdGUuPGJyPkRpZmVyZW50ZSBkYSBjaXJ1cmdpYSBiYXJpw6F0cmljYSwgcXVlIHByb21vdmUgdW1hIGFsdGVyYcOnw6NvIGFuYXTDtG1pY2EgZSBtZXRhYsOzbGljYSBwZXJtYW5lbnRlIG5vIHRyYXRvIGRpZ2VzdGl2bywgb3MgaG9ybcO0bmlvcyBzaW50w6l0aWNvcyBkZWl4YW0gZGUgYXR1YXIgbm8gb3JnYW5pc21vIGFzc2ltIHF1ZSBvIHBhY2llbnRlIGludGVycm9tcGUgbyB1c28gZGFzIGNhbmV0YXMuIEVzcGVjaWFsaXN0YXMgdGFtYsOpbSBhcG9udGFtIHBhcmEgbyByaXNjbyBkYSBwZXJkYSBkZSBtYXNzYSBtYWdyYSAobcO6c2N1bG9zKSBjYXNvIG8gZW1hZ3JlY2ltZW50byByw6FwaWRvIG7Do28gdmVuaGEgYWNvbXBhbmhhZG8gZGUgdW1hIGluZ2VzdMOjbyBwcm90ZWljYSBhZGVxdWFkYSBlIGRlIHRyZWlub3MgZGUgZm9yw6dhLiBFZmVpdG9zIGNvbGF0ZXJhaXMgZ2FzdHJvaW50ZXN0aW5haXMgZnJlcXVlbnRlcywgY29tbyBuw6F1c2VhcyBlIGNvbnN0aXBhw6fDo28gZ3JhdmUsIGFsw6ltIGRvIGFsdG8gY3VzdG8gZmluYW5jZWlybyBwYXJhIG1hbnRlciBhIG1lZGljYcOnw6NvIGEgbG9uZ28gcHJhem8gZGUgZm9ybWEgY29udMOtbnVhLCBzw6NvIG91dHJvcyBvYnN0w6FjdWxvcyByZWFpcyBlbmZyZW50YWRvcyBwZWxvcyB1c3XDoXJpb3MuPGJyPkEgY2nDqm5jaWEgbcOpZGljYSByZWZvcsOnYSBxdWUgYSBvYmVzaWRhZGUgw6kgdW1hIGRvZW7Dp2EgY3LDtG5pY2EgZSBtdWx0aWZhdG9yaWFsLiBQb3J0YW50bywgdGFudG8gYXMgbm92YXMgdGVyYXBpYXMgaW5qZXTDoXZlaXMgcXVhbnRvIG8gcHJvY2VkaW1lbnRvIGNpcsO6cmdpY28gZXhpZ2VtIG8gbWVzbW8gcGlsYXI6IGFjb21wYW5oYW1lbnRvIG3DqWRpY28gcmlnb3Jvc28sIHJlZWR1Y2HDp8OjbyBhbGltZW50YXIgZSBhIHByw6F0aWNhIGNvbnNpc3RlbnRlIGRlIGF0aXZpZGFkZXMgZsOtc2ljYXMuIEEgbWVkaWNpbmEgbsOjbyBlbnhlcmdhIG9zIG5vdm9zIG1lZGljYW1lbnRvcyBjb21vIGluaW1pZ29zIGRhIGJhcmnDoXRyaWNhLCBtYXMgc2ltIGNvbW8gZmVycmFtZW50YXMgY29tcGxlbWVudGFyZXMgaW5kaXZpZHVhbGl6YWRhcyBwYXJhIGNhZGEgcGVyZmlsIGRlIHBhY2llbnRlLjwvcD4KPCEtLSAvd3A6cGFyYWdyYXBoIC0tPsOJIG8gZmltIGQgYmFyacOhdHJpY2E\/IEVwZWlhbGlzdGFzbGVyYW0gc2JyZSBvcyBsaWllcyBkYXMgbm92YXMgY2FuZXRhcyBlbWFncmVjZWRvcmFzIGUgbyBycyBkbyBlZmVpdG8gcmVib3RlBQcIBAgGCAVBAgQCQQUCCAcIBwgGCA4IDggLCAZIAQYIBCYYFhMqCRkhIhYICggECAYIBwQKRwALuAGnKAgHBAoHCQULGYIpCQ4CCAMECQEoARELAQMAAAEJAAkBAgAMQgEBAEEAAgBBAAIACEEduAGiAUEBAU8AfQF3EzIwMjYtMDUtMThUMTQ6NDM6NDd9AX0AdwRvcGVudwRvcGVueXcAdwhzdGFuZGFyZHcAdwB3AHl5dwB3AHh5dgIYaW1hZ2VfZ2VuZXJhdG9yX3NldHRpbmdzdgQIdGVtcGxhdGV3B2hpZ2h3YXkQZGVmYXVsdF9pbWFnZV9pZH0ABGZvbnR3AAdlbmFibGVkeQd2ZXJzaW9ufQJ1AHUAdyQ3NjA1Zjg0Mi1iYjdmLTQwMGEtYWJmYS03MDg4Yzg5NTFiYmF4dw5jb3JlL3BhcmFncmFwaHl3JDJjODI3YjAxLTNiMzEtNGEyNC1hZmY5LWNjZDgxMGZhMDRmOHckNzhiM2JhOWUtYTRkNC00ZWVmLTgwMzktMTg0NjZjNDdiODAxeHcMY29yZS9oZWFkaW5nfQF9vKsBdQF9EncHcHVibGlzaAHs15LCDgwCAAEAAwMCAAMABwAQAAMAB3enFBAZd8IUYQ==\",\"updateId\":48226158}","advanced_seo_description":"","jetpack_seo_html_title":"","jetpack_seo_noindex":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[18],"tags":[],"class_list":["post-11002","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saude"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/oexpressobr.com.br\/wp-content\/uploads\/2026\/05\/1779126485542.png?fit=1376%2C768&ssl=1","jetpack_likes_enabled":true,"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/oexpressobr.com.br\/index.php?rest_route=\/wp\/v2\/posts\/11002","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/oexpressobr.com.br\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/oexpressobr.com.br\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/oexpressobr.com.br\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/oexpressobr.com.br\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=11002"}],"version-history":[{"count":1,"href":"https:\/\/oexpressobr.com.br\/index.php?rest_route=\/wp\/v2\/posts\/11002\/revisions"}],"predecessor-version":[{"id":11005,"href":"https:\/\/oexpressobr.com.br\/index.php?rest_route=\/wp\/v2\/posts\/11002\/revisions\/11005"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/oexpressobr.com.br\/index.php?rest_route=\/wp\/v2\/media\/11004"}],"wp:attachment":[{"href":"https:\/\/oexpressobr.com.br\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=11002"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/oexpressobr.com.br\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=11002"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/oexpressobr.com.br\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=11002"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}