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The most recent guidance (December 2024) was for tirzepatide

Enzymatic synthesis of fructooligosaccharides by inulinases from Aspergillus niger and Kluyveromyces marxianus NRRL Y-7571 in aqueousorganic medium

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For patients also at risk for fatty liver disease which is directly driven by visceral fat and hepatic lipid accumulation the upstream VAT reduction may offer hepatic benefits as well