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Oral berberine has established clinical evidence, whilst patches lack robust scientific validation and face significant pharmacological barriers to effective transdermal delivery

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If a patient only has a few pounds to lose (15-20 lb) and does not accept that these medications are intended to be a long-term treatment for the chronic diseases of diabetes or obesity, then they might not be a good candidate for the medication, Davisson said

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Nearly two-thirds lost 20% or more

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