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Proponents suggest this delivery method may bypass first-pass hepatic metabolismthe process by which orally administered drugs are partially metabolised by the liver before reaching systemic circulationpotentially improving bioavailability and reducing gastrointestinal side effects commonly associated with oral berberine
What matters is the magnitude of the rise and whether it's accompanied by symptoms
Importantly, current guidelines stress that AOMs should be prescribed as part of a comprehensive weight management program that includes dietary counseling, physical activity, behavioral therapy, and regular monitoring
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