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He checked in with his doctor every month
Clinically, good progress can look like: Waist circumference reducing Better fasting glucose / HbA1c (especially for diabetes/prediabetes) Improved blood pressure and lipids Less snacking, fewer cravings, better satiety Better energy and sleep consistency Plateaus: why they happen and what to do A plateau is common after the initial phase because: Your body requires fewer calories at a lower weight Hunger signals can adapt over time Activity levels sometimes drop (subconsciously) when intake is lower What helps plateaus most: Strength training 24x/week Higher protein (discuss target with your clinician/dietitian) Consistent steps or low-intensity movement Fixing hidden calories (liquid calories, weekend drift) Reviewing dose tolerance and meal patterns with your clinician Plateau doesnt mean the medication stopped working. It often means the plan needs an upgrade
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To "maintain" the result
The evidence is strongest for improvements in weight, BMI, insulin resistance, waist circumference, and some androgen-related markers
Funding This work is supported by SFI-HRB-Wellcome research partnership (108228/Z/15/Z Seed Award), APC MI (12/RC/2273) and the Department of Physiology, University College Cork
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