I Tertius who wrote this epistle salute you in the Lord .

我 这 代笔 写信 的 德 丢，在主 里面 问你们 安。

Conclusion : ① This three schemes mentioned above are effective for weight reduction among them the effect is best by using sibutramine and metformin together which is second ~ best by using sibutramine simply and tertius by metformin .

结论：①三种治疗方案对减肥均有疗效，其中西布曲明和二甲双胍联合治疗疗效最佳， 单用西布曲明 疗效次之，而 单用二甲双胍 疗效最 差。