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A maintenance plan may include: Continued follow-up visits Adjusted medication strategy Protein and resistance-training goals Monitoring weight trends before regain becomes significant Revisiting sleep, stress, alcohol, and nutrition habits Lab monitoring when appropriate A plan for travel, holidays, plateaus, and life disruptions Long-term success depends on building a system that can be maintained in real life

The study reported changes in the melatonin metabolite and expression of selected circadian genes

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Doses of 200-500 mcg are common