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However, only 41.8% stayed on treatment at 6 months 109 , in line with the available literature reporting disappointingly low adherence to liraglutide for obesity management and raising concerns about its role in the lifelong challenge of BW control and weight-related complications 110

Nevertheless, the current body of evidence is limited by small sample sizes, short follow-up durations, heterogeneous herbal formulations, and a general lack of standardisation in dose and quality control