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Description

Challenges include gastrointestinal side effects, nutritional deficiencies due to calorie reduction, muscle and bone loss, low long-term adherence with subsequent weight regain, and high costs, resulting in low cost-effectiveness

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The 8.7% average reached at week 12 roughly doubles to 17.3% by week 24, representing the highest velocity weight loss of the entire protocol

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this must be assessed by the trial team using the criteria set out in the trial protocol and site standard operating procedures

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In rodent models of diet-induced obesity, oral berberine consistently reverses this endocrine drift

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