Online, that image took on a life of its own. Squirtle in sunglasses became shorthand for confidence and the feeling of knowing you’re right. Decades later, it still works, whether you grew up watching the anime or just absorbed the image through the internet. Some memes never age, and this is one of them.
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Ahmed, who is a consultant surgeon and also carries out gastric band surgeries, said: "We don't know whether it's the injections that are causing the gallstones, or is it because the injections are causing rapid weight loss, which then in turn causes the gallstones?