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For weight management, specific criteria apply as outlined in relevant NICE technology appraisals (such as TA875 for semaglutide 2.4mg), generally requiring a BMI 35 kg/m (or 30 kg/m with weight-related comorbidities), with lower thresholds (typically 2.5 kg/m lower) for people from certain ethnic groups, and treatment within specialist weight management services

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The ratio of Firmicutes to Bacteroidetes is a commonly-studied change with an increase often linked to HFD consumption/obesity in mice 43,44 and humans 45,46 (for review, see John and Mullin, 2016 47 )

It doesn't directly stimulate DPCs on its own, but it does create the scalp conditions and absorption channels that may amplify what topical actives like AHK-Cu can do