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18,22 Pharmacological intervention is therefore usually required to assist in long-term weight loss in obese patients, and there several available drugs for this but they often exhibit insufficient efficacy and dubious safety
One patient, Mistie Mace, lost more than 50 pounds and was able to discontinue diabetes medications through this supported, gradual approach

You can read more about macro counting and obesity

Topical and/or inhaled steroids are ok and do not need to be stopped
