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They are classified as food supplements and are not part of standard NHS obesity treatment pathways, which prioritise lifestyle modification and licensed medications such as orlistat or semaglutide

10.1016/j.neuint.2017.05.019 20

The Spanish Ketogenic Mediterranean Diet study showed 14.47 kilograms of loss in 12 weeks, which is significant but generally less than what GLP-1 medications produce over similar timeframes in clinical trials