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In: Bhagavan NV, Ha C-E (eds) Essentials of medical biochemistry, 2nd edn

It is advisable to avoid using it simultaneously with products that contain acidic ingredients, such as acid-based products or vitamin C products

Moreover, the main signal associated with greater weight loss was observed in a large sample and externally replicated in a cohort based on electronic health records, which strengthens the robustness of the result

Safer options include medically supervised GLP-1 therapy, nutritional counseling, cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), and holistic approaches like mindfulness-based stress reduction

They work well on their own but even better together