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My top evidence-based recommendations for metabolic support: Omega-3 fatty acids (2-3g combined EPA/DHA daily): Supports GLP-1 production, reduces inflammation, and improves insulin sensitivity [16]

Clinical trial data shows tirzepatide achieves 15-22% weight loss vs Qsymia's 6-10%

A comparison of mortality in people initiated with metformin or sulphonylurea monotherapy and matched, non-diabetic controls

All of the above mentioned foundations had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript

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Full results may take several months, depending on your goals and commitment to the program