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The pattern is consistent: patients with baseline nutrient deficiencies (common in calorie-restricted diets) show measurably better fat loss velocity when lipotropic support is added, while patients with adequate baseline status see minimal additional benefit
This means they: Stay with your practice longer Are more willing to explore multiple treatments Often book follow-ups and combination therapies When your team knows how to support these patients, you can turn high-value clients into long-term revenue
SUs are as effective as GLP-1RAs in HbA 1C reduction and have fewer GI effects, but they can lead to weight gain and also a higher risk of hypoglycaemia, which this patient needs to avoid
In animal models, inhibition of TNF- has been shown to reduce liver steatosis and inflammation [190]
& Egli, T
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