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Izumi, Y., & Kaji, R

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Combined NNMT inhibitor treatment with reduced-calorie diet achieved 6.3 g cumulative weight loss versus 2.9 g with diet alone, and fat mass reduction was ten-fold greater with treatment (~29.3%) compared to diet switch alone (2.9%), while restoring fatty liver profiles to lean-control levels (Sampson et al., 2021)

That would have a major bearing on the resource-weak families access to insulin

it is impossible to predict in whom this can be done safely, and many people are at risk of worsening symptoms