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Fewer class II dogs obesity completed weight management than class I dogs (P<0.001), rate of weight loss was also slower (P=0.012) and lean tissue loss greater (P<0.001)

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Learn what to expect during your first week, including common side effects like nausea, constipation, fatigue, bloating, and dizziness

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Summary The proposed integrated approach underscores the importance of personalised nutritional strategies guided by patient-specific metabolic, hormonal, and microbiota profiles, and calls for effective multidisciplinary collaboration among nutritionists, endocrinologists, and behavioural health professionals to optimise therapeutic outcomes