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Similarly, in companion animals, iodine excess produced thyroid changes consistent with goiter and potentially primary hypothyroidism in canine puppies, while long-term excess has been identified as a potential contributor to nodular thyroid hyperplasia and hyperthyroidism in aging cats, although feline hyperthyroidism is multifactorial

Individuals may find themselves eating in response to these mental cues rather than physiological hunger, leading to excess caloric intake and weight gain over time

We emphasize that medications create a foundation for success, but long-term transformation often combines medical treatment with surgical refinement to achieve balance and proportion

As noted by the authors, additional studies will be needed to determine whether similar outcomes are observed in other groups and to further investigate the biological mechanisms involved