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Vulnerable urban populations, including homeless and those residing in low-income settings, are exposed to a potent mix of biological insults due to factors like poor ventilation in shelters, household crowding, and limited access to healthcare, all of which facilitate disease transmission

Alka Lean is marketed as a dietary supplement, not as an FDA-approved drug

, 11 , 3660-3668, doi: Tatebe, S., Unate, H., Sinicrope, F

In addition to individuals with class 3 or severe obesity (BMI 40 kg/m2), surgery is now recommended for individuals with class 2 obesity (BMI 35 kg/m2) alone as well as individuals with diabetes and class 1 obesity (BMI 30-34.9 kg/m2)