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The drugs in development now are dual agonists (like Mounjaro) and triple agonists, which activate multiple receptors simultaneously to enhance their ability to promote weight loss
NICE obesity guidance (CG189) does not include L-carnitine supplementation, and individuals seeking effective support are encouraged to speak with their GP about referral to appropriate NHS services
Even subclinical thyroid dysfunction can blunt weight loss and is easily checked with a simple blood test
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