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Most approved orders are prepared promptly, with dispatch subject to clinical approval, stock availability, identity verification and delivery-service cut-off times

The low availability of dietary carbohydrate maintains a predominant oxidation of fatty acids rather than glucose, mimicking a starvation state that involves increased ketogenesis primarily in the liver

Clinical trials show that GLP-1 agonists combined with exercise produce greater weight loss and better metabolic outcomes than medication or exercise alone

For anyone taking diabetes medications, please have a discussion with your prescribing clinician prior to taking topiramate as your diabetes medications may need to be adjusted as you lose weight