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The Caloric Deficit Problem GLP-1 medications work by: Suppressing appetite significantly Slowing gastric emptying (you feel full longer) Reducing food-seeking behaviors This creates a substantial caloric deficitoften 500-1,000+ calories below maintenance levels

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Interestingly, N-Acetyl-L-cysteine (NAC) or ferric citrate reduced hepatocyte toxicity from excessive CGA

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