NICE and MHRA guidance recommend monitoring for gastrointestinal side effects and reporting adverse reactions through the Yellow Card scheme
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In addition: epileptics, people with thyroid problems (hypothyroidism) and patients with kidney disease, can only take it after medical advice and under medical supervision
A systematic review and meta-analysis published in September 2025 found that dietary fiber supplements benefit individuals who are overweight or obese by improving their blood sugar control and insulin sensitivity
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Unlike injectable obesity drugs, which are peptides designed to mimic the appetite-controlling GLP-1 hormone, orforglipron is a small molecule pill that is easier to manufacture and package, said Kenneth Custer, president of Lilly's cardiometabolic health division