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Thats often when supplementation comes in

A systematic review and meta-analysis of supervised-exercise training interventions in children and adolescents showed that both aerobic and resistance exercise, at vigorous or moderate-to-vigorous intensities, with a volume of 60 min/session and a frequency of 3 sessions/week, aiming to improve cardiorespiratory fitness and muscular strength had benefits on hepatic fat content reduction in youth [122]

2015;10(5) doi:10.1371/journal.pone.0126926

Weight loss is only one part of the picture. Another growing concern: many med spas arent necessarily focused on treating obesity they often serve clients looking to lose a smaller amount of weight for cosmetic reasons