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In this setting as well, treatments with antioxidant substances could be appropriate, but literature data indicate that antioxidants alone are unable to induce significant clinical changes, except perhaps in mild forms, and must be used in conjunction with standard drug treatments to achieve measurable results (124)

In the seven months since starting the medication, Souza has dropped another 22 pounds and overall, she calls the experience a success

These cumulative costs rival or exceed metabolic surgery for obesity, which provides permanent anatomical changes without ongoing medication costs

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