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Enhancing metformin effects by adding gut microbiota modulators to ameliorate the metabolic status of obese, insulin-resistant hosts

The motility of the stomach can also be affected by neurotransmitters, hormones or drugs (Table 4) [51, 52]

Your GP can refer you to: NHS weight management programmes Cognitive behavioural therapy (CBT) for eating behaviours Dietitian services for personalised nutritional guidance Support groups for accountability and motivation NICE guidance notes that very low-calorie diets (VLCDs) or total diet replacement programmes may be appropriate for some people, but these should only be used short-term and under medical supervision with regular monitoring

M., Miranda, A

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