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For perspective, that level of weight loss was previously achievable only through bariatric surgery

6,7 ACE=angiotensin-converting enzyme

Certain health conditions : Topamax/Qsymia may not be safe for people with certain medical conditions, including glaucoma, hyperthyroidism, kidney disease, liver disease, or mental health disorders

Ottman, N., et al., Pili-like proteins of Akkermansia muciniphila modulate host immune responses and gut barrier function

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