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Serious adverse effects such as severe abdominal pain (which may indicate pancreatitis), persistent vomiting leading to dehydration, or signs of thyroid tumors (neck mass, difficulty swallowing, persistent hoarseness) require immediate medical attention
But for someone whose obesity stems from Type 2 diabetes, metformin might be more helpful
The primary evidence-based treatment remains achieving 710% body weight loss through overall dietary modification, as recommended by NICE guidance, which has been shown to reduce liver fat and improve liver enzyme levels
Marketed as a fat burner and energy booster, L-Carnitine is one of the most popular ingredients in weight management supplements
While anyone can benefit from vitamin B12s energy-boosting properties, certain groups are particularly at risk of deficiency and may find these injections invaluable
Medication is then combined with nutritional advice, exercise guidance and regular follow-up to help improve metabolic health and support sustainable weight loss
