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It actively burns more

Palmer SC, Tendal B, Mustafa RA, et al
After excluding 92 hits as duplicates, another 282 hits were excluded because they were reviews, abstracts, oral presentations and letters to the editors

Wegovy and Zepbound have not been covered by Medicare for weight loss, "and they've only rarely been covered by Medicaid," Trump said in the Oval Office

This is a controlled substance and must not be stopped abruptly

On the other hand, SG decreases acyl-ghrelin concentrations, presumably due to excision of a large part of the ghrelin-secreting stomach, which should decrease appetite (31, 32)
