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People included in the trial were aged 45 years with a BMI 27 kg/m 2

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Exercise not only enhances fat loss but also improves body composition, cardiovascular fitness, and metabolic health independent of weight changes

Referral to multidisciplinary specialised obesity services from primary care should be considered: when sustained weight-related health improvements (such as improvements in lipids, blood glucose, blood pressure or metabolic dysfunction-associated steatotic liver disease) have not been attained via behaviour modifications and pharmacotherapy, or in complex clinical scenarios, or in individuals who meet the Medicare Benefits Schedule criteria for metabolic bariatric surgery