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New clinical guidelines published by the South African Metabolic Medicine and Surgery Society (SAMMSS) in late 2025 recommend GLP1s as part of comprehensive obesity care, but implementation depends on affordability and reimbursement

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doi: 10.1111/andr.13000 5 LeeJMSharifiMOshmanLGriauzdeDHChuaKP

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Second, it reduces glucagon secretion, which lowers the livers release of stored sugar

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