RecruitingEarly Phase 1Drug trialRandomized Control Trial of Sleeve Gastrectomy With Tirzepatide in Maximizing Weight LossThis study examines whether adding tirzepatide-a medication that helps with weight loss-after sleeve gastrectomy surgery can help people lose more weight after the surgery; better improve conditions like Type 2 diabetes, high blood pressure, high cholesterol, and sleep apnea after surgery and; whether this causes more complications or side effects compared to surgery alone.