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Refrigerate at 2 to 8 C between uses
Weight loss triggers compensatory mechanisms that increase hunger hormones like ghrelin and decrease satiety signals, creating a biological drive to regain lost weight
doi:10.1016/j.cgh.2010.04.027
He would also likely point out that there was a small increase in energy expenditure on the ketogenic diet (that was near the detection limits of the equipment analyzing it)
PMID 15713707
Its important not to double up doses to try and make up for a missed dose
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