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Weight loss may also ultimately improve sleep quality, especially in those with obesity-related sleep apnoea

A separate Phase 2 trial also published in The New England Journal of Medicine in 2023 evaluated retatrutide in adults with type 2 diabetes, reporting meaningful reductions in HbA1c alongside weight loss, with hypoglycaemia rates that were low in the absence of insulin or sulfonylurea co-administration

At SCVC we developed a 12 month tracker booklet called N-of-1 that anyone can purchase on Amazon or via the Cardiometabolic toolkit Optional Add-Ons AI dietitian support (every 2 weeks via app or platform) CarbR Test for those without access to CGMs Time-restricted eating coaching GLP-1 mimetics if VAT remains high after 6 months of structured lifestyle change Summary Table: Non-Medication VAT Reduction Final Message You can reduce visceral fat without medication but it requires consistency, insight, and personalised feedback

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