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This way, you can gauge the gradual improvements, even if they arent immediately obvious

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Both medications reduce appetite through different pathways, and their combined effect might lead to inadequate caloric and nutrient intake, potentially causing muscle loss, vitamin deficiencies, or metabolic complications

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[21] The underlying principle, supported by guidelines from the Endocrine Society, American Association of Clinical Endocrinology, and American Gastroenterological Association, is that obesity is a chronic metabolic disease requiring ongoing medical management