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Acknowledgements The authors acknowledge the efforts of Prof Omnia ElRashidy one of the founders of the Pediatric Ketoclinic and Prof Ehab Khairy Emam the Head of the Pediatric Gastroenterology, Hepatology and Clinical Nutrition Unit, at the children`s Hospital, Faculty of Medicine, Ain shams University, for their support

Stacking two GLP-1 agonists makes no sense because they compete for the same receptors

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In contrast to conditions like hypertension or type 2 diabetes, where interdisciplinary modelscombining pharmacotherapy, patient education, and behavioral supporthave long been standard, obesity care has historically lacked a comparable structure

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