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Bariatric surgery remains an option for patients with severe obesity who meet specific NICE criteria generally a BMI of 40 or above, or 35 or above with significant comorbidities, with lower thresholds applicable in some groups, such as those with recent-onset type 2 diabetes

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You do have to put in a little work of your own and try to be mindful of what you are eating

The lipotropic agents support fat utilization and methylation, while L-carnitine supports fatty-acid transport into the mitochondria

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