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Its a lipase inhibitor, which means it blocks around a third of the fat in a meal from being absorbed in the gut, rather than reducing appetite or food noise

This improvement occurs through multiple mechanisms: reduced aromatase activity as fat mass decreases, improved insulin sensitivity, decreased inflammatory cytokines, and restoration of normal hypothalamic-pituitary function

[1] While lightheadedness is not among the most commonly reported adverse effects in clinical trials, several factors may contribute to this symptom in some individuals

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