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You can always switch to a brand-name medication later if your appeal is successful

Clinical studies show average weight loss of 15-20% of body weight over 12-18 months when combined with lifestyle modifications

But that doesnt mean you necessarily want to rule out a medication

Pregnant or breastfeeding women should avoid NAC for NAFLD supplementation unless specifically recommended by their healthcare provider

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Isken F et al (2008) Deficiency of glucose-dependent insulinotropic polypeptide receptor prevents ovariectomy-induced obesity in mice