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If rapid weight loss and financial resources are available, semaglutide, under medical supervision, might be an option

Some people notice a very strong, bad odor thats different from normal or worse than theyve smelled before

Magruder KM et al

Without adequate methyl donors, dietary fat restriction triggers hepatic steatosis (fatty liver) rather than systemic fat mobilisation, which is why some patients plateau despite caloric deficits