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Our study also did not perform liver imaging or histological examination of liver tissue, but MASLD is almost always present in patients with severe obesity 46

Some people experience hair loss while on these medications but its not usually the medication itself that is to blame

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Overall, regulation of DPP-4 remains nebulous

Understanding which foods to avoid , following a structured tirzepatide-style diet plan , and incorporating appropriate supplements can support metabolic health while you work toward regaining access to legitimate medication