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Treatment reduces circulating markers of metabolic dysfunction and inflammation, creating a more favorable metabolic environment that supports insulin sensitivity and glucose regulation

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But for patients who have done the foundational work diet, movement, sleep, lab optimization and are still hitting a wall with fat metabolism or body composition, it may be a worthwhile piece of the puzzle

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This approach allowed for the continuation of OHCbl therapy or the adjustment of therapy required to improve metabolic control in our patients

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