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A review may include: Thyroid symptoms or an existing thyroid disorder Changes in glucose, A1C, insulin, or sulfonylurea use Sleep apnea symptoms, poor sleep, or shift work Menopause, polycystic ovary syndrome, or other hormonal concerns when clinically relevant Medicines associated with increased appetite, fluid retention, or weight gain Depression, binge eating, substance use, or major stress Constipation, dehydration, edema, or gastrointestinal intolerance Loss of strength or signs of inadequate protein and calorie intake Bring a complete list of prescriptions, over-the-counter medicines, vitamins, supplements, and injections
Underdosed vials, contaminated product, and outright fakes exist
But for most people, hunger and food cravings gradually return as the biology that drives obesity reasserts itself, making long-term weight maintenance more challenging
M., Frisen, J
