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Acknowledgments I would like to express my deepest gratitude to the following individuals who have contributed to the completion of this article

10.1016/S0896-6273(01)00383-X 121 KimH.KunzP

This dual approach is being studied to improve weight loss and glycemic outcomes compared with single-mechanism therapies

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Neuropeptides, which are peptides that act on neurons in the central nervous system, play a vital role in overall brain health

check their B12 status, and request it to be checked if it is not available, ensure the levels are more than 300 pmol/L and not above the recommended upper limit, recommend reducing frequency of the intervention if the levels are at the high end of normal range or above range