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The appetite-suppressive effects create a secondary concern: patients taking both drugs may inadvertently restrict calories to unsafe levels, leading to nutrient deficiencies, muscle loss, or metabolic adaptation that undermines long-term weight loss

Molecular mechanism of okra and DM Polysaccharides have the ability to significantly reduce hyperglycemia, low-grade inflammation, oxidative stress, and improve glucose tolerance in T2D (Ganesan & Xu, 2019

However, stopping the medication also means losing the appetite suppression and weight loss benefits

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