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It should only be used in those with low thyroid function but you can pretty much guarantee that those with obesity have some level of thyroid dysfunction making it a great alternative

Metformin in prevention and treatment of antipsychotic induced weight gain: a systematic review and meta-analysis

Gut health as the foundation Why do you insist on fixing the gut first

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You can use this chart as a guide

How Protein And Fiber Intake Influence Satiety And Metabolism When you're trying to break through a weight loss plateau, focusing on protein and fiber is a game-changer