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These comorbidities may include, but are not limited to: Controlled Hypertension Dyslipidaemia Obstructive sleep apnoea Type 2 diabetes mellitus Consultation Process Our service does not include a prescription

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Concurrently, hypertrophic and dysfunctional adipose tissue, particularly visceral fat, releases elevated levels of FFAs and pro-inflammatory cytokines that promote muscle protein breakdown via ubiquitin-proteasome activation, inhibit anabolic signaling, and induce intramyocellular lipid accumulation, thereby creating a self-perpetuating cycle of muscle loss and fat gain (43, 44)