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We are clearly in a new era of obesity management where, for the first time, we can have access to medicines which are effective and, though not without some side-effects, largely safe. The Nice recommendation on Mounjaro comes after Wegovy was given the green light to treat obesity on the NHS last year

Most patients experience a gradual and steady decline in body weight, with the most significant changes occurring between months three and six of treatment

I think this will become very important, says Heymsfield

By utilizing fats for energy production, this supplement helps conserve glycogen and delay the buildup of lactic acid, which in turn reduces muscle fatigue and extends the horse's ability to perform at peak levels