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We discuss these openly at intake because a protocol that gets undermined by lifestyle factors is a protocol that will not produce the result the patient expected

This behavior is common in people with obesity and contributes to poor weight loss outcomes, high relapse rates, and risk of binge eating disorder

This risk may be compounded by concomitant medications such as diuretics or SGLT2 inhibitors

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Insulin is a hormone thats normally released when your blood sugar is high, and it helps to cause your cells to take up sugar from the blood, which lowers blood sugar levels