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Abdominal fat directly affects the liver: Visceral fat around the abdomen releases a large amount of free fatty acids that flow directly to the liver, turning liver cells into fat storage units. Disrupted blood sugar and lipid levels: Obesity often comes with high blood sugar and high cholesterol, forcing the liver to process excess sugar and fat, leading to overload

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Published in 2009, Tschp and DiMarchi's results provided the first demonstration that dual agonist drugs had potential to induce weight loss (Day, Ottaway, Patterson)

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