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The existence of an effective medication seems to have snapped obesity from a perceived personal failure into the category of treatable disease

Int J Environ Res Public Health 16(15):2720 Vella A, Bock G, Giesler PD, Burton DB, Serra DB, Saylan M, Camilleri LM (2008) The effect of dipeptidyl peptidase-4 inhibition on gastric volume, satiation and enteroendocrine secretion in type 2 diabetes: a double-blind, placebo-controlled crossover study

Choline deficiency genuinely impairs hepatic fat export and is associated with hepatic steatosis

Blood work for monitoring adds $100-$500 depending on panel comprehensiveness