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Alternatives include orlistat (though it may cause gastrointestinal side effects), structured lifestyle programmes with dietetic support, psychological interventions, tailored physical activity, and bariatric surgery for eligible patients

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Beyond the two-month timeline, individual factors matter significantly
10.1210/jc.2011-1074 88 MerchenthalerI.LaneM.ShughrueP

High-fat meals can overwhelm your stomach, stay there too long, and trigger nausea or reflux since gastric emptying is already delayed
