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No consistent impact on abdominal fat or body fat percentage: A meta-analysis of 37 randomized controlled trials showed that L-Carnitine supplementation produced modest reductions in body weight, BMI, and fat mass in overweight or obese adults, with an optimal dose around 2000 mg/day [12]

Tirzepatide and semaglutide may assist in this process by providing patients with an effective pharmacological option to help reduce BMI before the surgical intervention

Tirzepatide 15 mg produced 20.9% weight loss in SURMOUNT-1 (Jastreboff 2022 NEJM), compared with ~5% for Rybelsus 14 mg in PIONEER

Sometimes, lifestyle changes such as improving posture, losing weight, and staying active can also reduce pain

Staying hydrated, being mindful of portion sizes, and tuning into your hunger signals can further support your long-term success