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More VG, Kenley DC

Complementary approaches may include: Behavioral therapy or weight management counseling Sleep optimization (79 hours nightly) Stress management techniques Evaluation and treatment of coexisting conditions (insulin resistance, sleep apnea, depression) FDA-approved oral weight loss medications (orlistat, phentermine/topiramate ER, naltrexone/bupropion) as alternatives to injectables (note: phentermine monotherapy is approved for short-term use only) Patients should maintain realistic expectationsweight loss may be slower with hypothyroidism, even when well-controlled

However, healthy, radiant skin is often a reflection of overall wellness

Plain Language Summary Obesity is a growing public health issue that increases the risk of developing heart disease, type 2 diabetes, and osteoarthritis

c) based on animal studies rather than human ones

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