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Orlistat works by reducing fat absorption rather than affecting appetite hormones, but it's important to note that it commonly causes gastrointestinal side effects (including steatorrhoea and urgency) and is contraindicated in chronic malabsorption conditions and cholestasis

Retrieved January 27, 2025, from L-carnitine

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Benefits and risks of bariatric surgery in adults: a review

They say the concerns with the compounded drugs are real, but so is the cost crisis that drives people to use them