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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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This process helps to decrease insulin resistance and sugar production in the liver, slows the breakdown of carbohydrates in the gut, and increases the number of beneficial gut bacteria, as well as increasing glycolysis which helps the body break down sugars inside cells
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