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For individuals with severe or complex obesity (higher BMI and significant health issues), bariatric surgery is often considered the more effective and durable treatment, especially for long-term weight maintenance and disease remission

Niacinamide is a form of vitamin B3 that supports barrier function and helps fade the look of dark spots, while glutathione is a powerful antioxidant that works alongside it for brightening

Thus, supporting the cardiovascular safety of these drugs and not necessarily their observed benefits

Side effects of Ozempic alternatives Because most Ozempic alternatives are GLP-1 receptor agonists that work similarly to Ozempic, they share many of the same side effects