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Dietary intervention produces greater weight loss, whereas physical activity produces better physical function, although the combination of interventions provides superior improvement in physical function than either intervention alone [66]

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The article traces it to the drug class's core mechanism: slowed gastric emptying and altered gut motility keep food and gas in the stomach longer, creating pressure and distension

Engaging it is thought to add a burn component on top of the eat less component from the other two pathways

Bensad A, Tom D, Gietzen D, Even P, Morens C, Gausseres N, et al