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At embarkation, the passenger picks up the cooler at guest services, receives ice from the crew to start, and refreshes ice twice daily at the ships ice machines

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Heart failure is a common complication of obesity [61, 62], and clinical trials have shown that GLP-1 analogs, particularly tirzepatide, can improve cardiac function and reduce the risk of heart failure in people with obesity [63]

References 1 ShiravandYKhodadadiFKashaniSMAHosseini-FardSRHosseiniSSadeghiradHet al

Stimulant-containing supplements marketed for weight loss or energy enhancement (containing caffeine, synephrine, or yohimbine) should be avoided