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doi: 10.1111/j.1467-9868.2010.00746.x 31

Research also suggests that a deficiency in lipotropes can lead to liver fat accumulation and other metabolic disturbances, highlighting their potential role in supporting liver function and metabolic balance
The key difference is in the registration: Ozempic is registered in South Africa for the treatment of type 2 diabetes

The 21-28 day recommendation accounts for this additional degradation pathway
