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Real-world data with behavioural support Second Natures peer-reviewed research, published in JMIR Formative Research (2025), showed that semaglutide, combined with registered dietitian support and a structured behaviour change programme, produced an average 19.1% weight loss at 12 months, with 77.7% of participants achieving at least 10% weight loss

separate by at least 4 hours [2] Kelp or iodine-rich ingredients can unpredictably affect thyroid function and should be avoided unless specifically recommended by a clinician Green tea extract some laboratory and animal studies suggest a possible effect on thyroid hormone metabolism, but evidence in humans is limited and of low certainty

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Symptoms : Persistent unsteadiness or lightheadedness without clear rotational component

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