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These principles can guide your counseling and help clients stay well nourished throughout treatment (Mozaffarian, 2025, Gigliotti et al., 2025): Maintain nutritional adequacy Even with smaller portions, clients still need enough calories, protein, and micronutrients to support metabolic health

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This unique combination not only addresses obesity but also offers glycemic benefits, a potential groundbreaking innovation in metabolic health

These include: Hypertension or high blood pressure High cholesterol Osteoarthritis Obstructive sleep apnoea Asthma/COPD Non-alcoholic fatty liver disease Polycystic ovarian syndrome Some people may be eligible with a slightly lower BMI, for example those from certain ethnicities including those of Asian, Chinese, Middle Eastern, Black African or African-Caribbean origin