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Ashwagandha is not permitted in dietary supplements in some countries, so black pepper extract (piperine) was substituted for Ashwagandha in this study

Yes, its made for that

The Rex MD Weight Management Program is a cutting-edge, online healthcare service designed to provide individuals with easy access to care from licensed clinicians who may prescribe GLP-1 receptor agonist treatments, if clinically appropriate

Thats because obesity is closely linked to conditions such as type 2 diabetes, heart disease and fatty liver disease, so treatments that produce significant weight loss may also improve these related health risks