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[1] For weight management, NICE technology appraisals TA875 and TA664 provide specific criteria for NHS use

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Acknowledgments The authors thank the Chettinad Academy of Research and Education (CARE), Chettinad Hospital and Research Institute (CHRI), Chennai, India, and the Faculty of Medicine, University of Oslo, Norway

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-Ketoglutarate serves as a central metabolic hub within the tricarboxylic acid (TCA) cycle and acts as a signaling molecule that regulates nitrogen metabolism, redox balance, and carbonnitrogen homeostasis 26

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