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Many clinicians recommend incorporating some activity not as a prerequisite but as a complementary strategy to maximize efficacy and reduce metabolic adaptation over time

That matters because obesity medicine is moving beyond simple appetite suppression

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How Sleep Influences Hunger Sleep isnt just passive recovery

doi:10.1016/j.bbr.2019.111932 49

"Our findings should be viewed as being significant but tentative, as future studies are needed to examine these questions in a much larger and more diverse population, said Rizzo