“…We utilized a highly translational animal, the macaque, with strong construct and face validity, while leveraging advantages of an animal model that cannot be performed in humans such as repeated sampling, dietary, and environmental control, and a sham surgical group. The translatability of this model is strengthened by the use of cooperative handling of the NHPs which results in less stress- and sedation-induced metabolic and immunologic perturbations often introduced by conventional handling techniques ( Graham et al., 2012 ; Graham and Schuurman, 2015 ; Hocum Stone et al., 2021 ). This model utilizes VSG, the most common treatment for obesity and the MetS ( Ikramuddin et al., 2013 ), to affect multiple interrelated biologic systems and address construct, face, and predictive model validity, thus bridging the gap between rodents and humans in anatomy, behavior, BA and microbiome diversity, and immunology.…”