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It showed that obesity is usually a chronic, relapsing physiology, and that withdrawing an effective therapy without a serious maintenance plan is an invitation to drift backwards

When you come off, you're not fighting metabolic adaptation as severely

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Lab work schedule Before starting the combination, get baseline labs: comprehensive metabolic panel, lipid panel, fasting insulin, HbA1c, thyroid panel, vitamin D, B12, and a complete blood count

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