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Given the scoping nature of the review and the heterogeneity of available evidence, study selection focused on identifying representative and clinically informative literature rather than exhaustive quantitative inclusion

Clinical trial results showed modest and variable weight loss outcomes

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Whilst most patients find that initial fatigue improves within 48 weeks as the body adapts, persistent or severe tiredness warrants medical review to exclude other causes and ensure safe continuation of treatment

A medically supervised program that helps you stay consistent may ultimately be the better investment in your health