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Gone were daily thoughts about what I was going to put in my body, the constant mental calculations, the rigid food rules that had governed my existence

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Quality Metrics and Outcome Monitoring : Establishment of systems to track clinical outcomes, monitor adverse events, and evaluate the long-term effectiveness and safety of these therapies in real-world settings

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The research also looked at existing medical records and had no control group, so it was not the "gold standard" randomized clinical trial