I bought them from amazon and find the same one here and happy about it because it's actually faster and easier to buy from Walmart then amazon because you get 2 days shipping without purchasing a prime account additionally and you can pay with PayPal here which is really convenient for me ! So about the peals , I actually athlete so I do body building and sometimes people like me need to gain and they gaining muscles but also fat it's a normal process . Well In order to be cut , me as every body builder Doing fat burning from time to time . This peals helps me with it but of course you need to have your experience and diet on point !
A recent systemic review and meta-analysis of randomized controlled trials comparing the long-term effects (greater than 1 year) of dietary interventions on weight loss showed no sound evidence for recommending low-fat diets. In fact, low-carbohydrate diets led to significantly greater weight loss compared to low-fat interventions. It was observed that a carbohydrate-restricted diet is better than a low-fat diet for retaining an individual’s BMR. In other words, the quality of calories consumed may affect the number of calories burned. BMR dropped by more than 400 kcal/day on a low-fat diet when compared to a very low-carb diet.

In this case, that means that even though the big black number on the box says it contains 180 calories per serving, you’re at high risk of consuming 510 calories if you eat the whole thing. (It’s worth noting that Fooducate lists it as 170 calories by serving and thereby reveals the danger of inaccuracies in the listings, to say nothing of the misspelling of “Swiss” in the product’s title.)

Did you get enough protein? How much of the fat you consumed was saturated? Did you eat three times as many french fries as you should have? (No judgment, we’ve all been there.) The MyFitnessPal app can tell you all of that. For an even better understanding of portion control, Childress recommends heading to the MyFitnessPal blog, which has an easy-to-understand portion size guide that compares common foods to your hand and tells you how much one serving size of that food is.
The ketone bodies are possibly anticonvulsant; in animal models, acetoacetate and acetone protect against seizures. The ketogenic diet results in adaptive changes to brain energy metabolism that increase the energy reserves; ketone bodies are a more efficient fuel than glucose, and the number of mitochondria is increased. This may help the neurons to remain stable in the face of increased energy demand during a seizure, and may confer a neuroprotective effect.[56]

How Lose It! works: Lose It! makes it easy to set your goal and track your progress with weight loss games and challenges to keep dieting fun. Highly customizable, you can log your food and exercise with easy database and tracking tools. Record your food intake in one of three ways: Search food database with over 7 million items, scan a barcode or snap a picture of the food. The app’s recognition software can identify most common food items. Confirm the app’s analysis and select your serving size to automatically add caloric and nutritional information to your log.
In vertical sleeve gastrectomy, at least 85 percent of the stomach is removed during surgery. The remaining narrow portion of the stomach is attached to the intestines. The volume of the stomach is reduced, but rerouting around the intestine does not occur, thus preserving nutrient absorption. Surgery typically lasts 60 minutes and general anesthesia will be used. The vertical sleeve gastrectomy procedure is not reversible. Sleeve gastrectomies may be appropriate as an alternative to gastric banding in certain patients.

Did you get enough protein? How much of the fat you consumed was saturated? Did you eat three times as many french fries as you should have? (No judgment, we’ve all been there.) The MyFitnessPal app can tell you all of that. For an even better understanding of portion control, Childress recommends heading to the MyFitnessPal blog, which has an easy-to-understand portion size guide that compares common foods to your hand and tells you how much one serving size of that food is.


Hi Maya. I LOVE your site!! Interesting, informative with fab recipes and ideas. Hubby and I have just started eating low carb and I have to say, we are not finding it too difficult and I already feel sooo much better!! I find the hardest part is choosing low carb veg, I feel as if we are not eating enough. Any suggestions on how to get more veggies into our diet?
Chromium: Sometimes marketed as chromium picolinate, products that contain this substance often claim to help you burn extra calories and decrease your appetite. However, the NIH found that chromium has no significant benefits for weight loss. Chromium is generally considered to be safe, but it is likely to drain your wallet without any significant benefit to your waistline.
Apps have become a mainstream part of living more healthfully. Just think about it: There are apps built in to smart phones that help you track activity levels (perhaps prompting you to move a bit more), apps designed to help you track what you eat, apps to guide you through workouts and meditations, and more. While there are a sea of apps to help you put healthier habits in place, Noom, which touts itself as “the last weight loss program you’ll ever need” is getting considerable attention. Case in point: Noom was one of the top-searched diet terms on Google in 2018.
• Cyclic ketogenic diet (CKD) — Whereas TKD is focused on fitness enthusiasts, CKD is focused more on athletes and bodybuilders. In CKD, you cycle between a normal ketogenic diet, and a short period of high carb consumption or "re-feeds."8 The idea here is to take advantage of the carbohydrates to replenish the glycogen lost from your muscles during athletic activity or working out.9
A popular keto supplement are exogenous ketones (popularly called “keto diet pills”) that may help you achieve results earlier as well as remain in that state. (Don’t confuse exogenous ketones with raspberry ketones, as the latter don’t raise ketone levels in the body or mimic endogenous ketones, so you wouldn’t use raspberry ketones in your regimen.)

He should focus more on how to learn to spell the word SERIOUSLY instead of trolling people who are looking for help and to help others. 21 was easy, I’m now 29 and with a full time job and not living with mommy and daddy getting to the gym or getting out to exercise isn’t exactly the easiest thing on the to do list. Misery loves company I guess. I need an app to help keep track of my habits and workouts to see how I improve. What is everyones fav? I had one once a while back and it was “free” until you actually tried to enter info and then it kept referring back to a payment option for “better options”

You’re transitioning. Your body is equipped to process a high intake of carbs and a lower intake of fat. Your body needs to create enzymes to be able to do this. In the transitional period, the brain may run low on energy which can lead to grogginess, nausea, and headaches. If you’re having a large problem with this, you can choose to reduce carb intake gradually.
Elissa Goodman, celebrity holistic nutritionist and cleanse expert, substantiates the website's claim. She agrees that HCA is said to block fat absorption and suppress the appetite and inhibits a key enzyme, citrate lyase, that the body needs to make fat from carbohydrates. This is supposed to help you feel fuller more quickly and help convert the food you eat into energy as opposed to being stored as fat. "However, the most promising studies to prove this were animal studies," Goodman says. "The studies of Garcinia Cambogia in humans do not show any mind-blowing results."
Green tea has many health benefits. “It contains many nutrients, including antioxidants and anti-cancer and brain-healthy compounds,” Smith reminds us. One thing is for sure: regardless of whether or not you’ll shed pounds with green tea, drink it anyway. “All teas contain many healthful nutrients; it’s one of the healthier choices for a beverage!” Smith says.
Elissa Goodman, celebrity holistic nutritionist and cleanse expert, substantiates the website's claim. She agrees that HCA is said to block fat absorption and suppress the appetite and inhibits a key enzyme, citrate lyase, that the body needs to make fat from carbohydrates. This is supposed to help you feel fuller more quickly and help convert the food you eat into energy as opposed to being stored as fat. "However, the most promising studies to prove this were animal studies," Goodman says. "The studies of Garcinia Cambogia in humans do not show any mind-blowing results."
A ketogenic diet could be an interesting alternative to treat certain conditions, and may accelerate weight loss. But it is hard to follow and it can be heavy on red meat and other fatty, processed, and salty foods that are notoriously unhealthy. We also do not know much about its long-term effects, probably because it’s so hard to stick with that people can’t eat this way for a long time. It is also important to remember that “yo-yo diets” that lead to rapid weight loss fluctuation are associated with increased mortality. Instead of engaging in the next popular diet that would last only a few weeks to months (for most people that includes a ketogenic diet), try to embrace change that is sustainable over the long term. A balanced, unprocessed diet, rich in very colorful fruits and vegetables, lean meats, fish, whole grains, nuts, seeds, olive oil, and lots of water seems to have the best evidence for a long, healthier, vibrant life.
Thanks for this article. I just started a Keto diet so found it appropriate to my current lifestyle. Though I don’t believe your bottom line is strong enough since you simply stating that the diet is “hard to follow” and food is “notoriously unhealthy” without evidence going deeper into why those “notoriously unhealthy” foods are worse than keeping carbohydrate-heavy food that are addictive and give the body a quick sugar high for energy. I believe “hard to follow” is your opinion only, since acceptable Keto foods are found at all restaurants easily and also all grocery stores. All the foods you mention: “rich in very colorful fruits and vegetables, lean meats, fish, whole grains, nuts, seeds, olive oil, and lots of water” are all Keto-friendly. Many people have been on a Keto-diet for years. A healthy lifestyle is a healthy mindset change and making right choices – it’s not going to be easy.
In many developing countries, the ketogenic diet is expensive because dairy fats and meat are more expensive than grain, fruit and vegetables. The modified Atkins diet has been proposed as a lower-cost alternative for those countries; the slightly more expensive food bill can be offset by a reduction in pharmaceutical costs if the diet is successful. The modified Atkins diet is less complex to explain and prepare and requires less support from a dietitian.[55]
Many celebrities including Christina Milan, Hilary Duff and Vanessa Hudens drink and promote the best detox tea brands for a flat tummy and gorgeous skin and hair. Naturally, all this has created a buzz around various slimming tea brands but you are going to be in for a huge disappointment if you think that you will look like them just by drinking detox teas. Naturally, you must workout; stay hydrated and eat fewer carbs alongside drinking these healthy teas to actually see results.
AddictionCenter.com is a referral service that provides information about addiction treatment practitioners and facilities. AddictionCenter.com is not a medical provider or treatment facility and does not provide medical advice. AddictionCenter.com does not endorse any treatment facility or guarantee the quality of care provided, or the results to be achieved, by any treatment facility. The information provided by AddictionCenter.com is not a substitute for professional treatment advice.
Rooibos tea is made from the leaves of the “red bush” plant, grown exclusively in the small Cederberg region of South Africa, near Cape Town. What makes rooibos tea particularly good for your belly is a unique and powerful flavonoid called Aspalathin. Research shows this compound can reduce stress hormones that trigger hunger and fat storage and are linked to hypertension, metabolic syndrome, cardiovascular disease, insulin resistance and type 2 diabetes. Yup, sometimes the kettle can be as effective as the kettlebell.

Rooibos is naturally caffeine free so you can enjoy a cuppa anytime you want—even before bed. It features a nutty and citrusy flavor profile with a refreshing finish. Drink a cup during each meal or when you feel stressed out and are inclined to binge eat. Rooibos tea is often used as a base tea for masala chai. The addition of spices such as cardamom, cinnamon, ginger and black pepper make this spiced rooibos tea even more delicious. Warm up our rooibos masala chai and add a dash of soy milk or rice milk for a creamy, invigorating treat.
"The keto diet is primarily used to help reduce the frequency of epileptic seizures in children. While it also has been tried for weight loss, only short-term results have been studied, and the results have been mixed. We don't know if it works in the long term, nor whether it's safe," warns registered dietitian Kathy McManus, director of the Department of Nutrition at Harvard-affiliated Brigham and Women's Hospital.
A systematic review in 2018 looked at 16 studies on the ketogenic diet in adults. It concluded that the treatment was becoming more popular for that group of patients, that the efficacy in adults was similar to children, the side effects relatively mild. However, many patients gave up with the diet, for various reasons, and the quality of evidence was inferior to studies on children. Health issues include high levels of low-density lipoprotein, high total cholesterol, and weight loss.[24]
Having high-quality ingredients that are safe to consume is an absolute must. Some teas feature only organic or all natural ingredients. There are options specifically labeled non-GMO, gluten-free, and vegan. While this doesn’t necessarily mean they are better, it can lead to higher quality ingredients. The combination of ingredients also plays a role here. What does the blend consist of? What herbs and leaves are used, determine how well the tea works. Does the tea contain Senna? This might be something some want to avoid, while others have no problem consuming the laxative.
The end result of the “ketone diet” is staying fueled off of circulating high ketones (which are also sometimes called ketone bodies) — which is what’s responsible for altering your metabolism in a way that some people like to say turns you into a “fat-burning machine.” Both in terms of how it feels physically and mentally, along with the impact it has on the body, being in ketosis is very different than a “glycolytic state,” where blood glucose (sugar) serves as the body’s energy source.
The keto diet works by eliminating carbohydrates from the your daily intake and keeping the body’s carbohydrate stores almost empty, therefore preventing too much insulin from being released following food consumption and creating normal blood sugar levels. This can help reverse “insulin resistance,” which is the underlying problem contributing to diabetes symptoms. In studies, low-carb diets have shown benefits for improving blood pressure, postprandial glycemia and insulin secretion. (7)
Another weight-loss tea bursting with ECGC? Green tea. The combo of caffeine and ECGC found in the tea has been found to help you lose weight and keep it off, per a meta-analysis on 11 studies in the International Journal of Obesity. It does have less caffeine than black tea, making it easier to sip any time of day without having an effect on your sleep later that night. (Check out these other astounding benefits of green tea.)
The brain is composed of a network of neurons that transmit signals by propagating nerve impulses. The propagation of this impulse from one neuron to another is typically controlled by neurotransmitters, though there are also electrical pathways between some neurons. Neurotransmitters can inhibit impulse firing (primarily done by γ-aminobutyric acid, or GABA) or they can excite the neuron into firing (primarily done by glutamate). A neuron that releases inhibitory neurotransmitters from its terminals is called an inhibitory neuron, while one that releases excitatory neurotransmitters is an excitatory neuron. When the normal balance between inhibition and excitation is significantly disrupted in all or part of the brain, a seizure can occur. The GABA system is an important target for anticonvulsant drugs, since seizures may be discouraged by increasing GABA synthesis, decreasing its breakdown, or enhancing its effect on neurons.[7]
For patients who benefit, half achieve a seizure reduction within five days (if the diet starts with an initial fast of one to two days), three-quarters achieve a reduction within two weeks, and 90% achieve a reduction within 23 days. If the diet does not begin with a fast, the time for half of the patients to achieve an improvement is longer (two weeks), but the long-term seizure reduction rates are unaffected.[44] Parents are encouraged to persist with the diet for at least three months before any final consideration is made regarding efficacy.[9]
I was a Corpsman (not a corpse-man as some recent somewhat fanatical president would say), and I can tell you many stories of Marines and Sailors who maintained restrictive diets (aka picky eaters). Most obvious was lack of sustaining energy (hypoglycemia) at mile 15 (with 80lbs of gear including a 6.5lb rifle and 200 rnds of ammo, etc.) and depletion of essential vitamins, electrolyte imbalance. They were always the first to collapse and have to hear me scold “see I told you so.” An IV of D5W usually does the trick (D is for dextrose, OMG!)

Dietary supplements, foodstuffs, or programs for weight loss are heavily promoted through advertisements in print, on television, and on the internet. The US Food and Drug Administration recommends caution with use of these products,[50] since many of the claims of safety and effectiveness are unsubstantiated, and many of the studies purporting to demonstrate their effectiveness are funded by the manufactures and suffer a high degree of bias.[51] Individuals with anorexia nervosa or bulimia nervosa, and some athletes, try to control body weight with diet pills, laxatives, or diuretic drugs, although the latter two generally have no impact on body fat and only cause short-lived weight-loss through dehydration.[52] Both diuretics and laxatives can cause electrolyte abnormalities which may cause cognitive, heart, and muscle problems, and can be fatal. Pyruvate, which is found in red apples, cheese, and red wine, is sometimes marketed as a weight loss supplement, but has not been thoroughly studied and its weight loss effect has not been demonstrated.[53]

Doctors don't use this method as often as they once did, as there are newer, better techniques now. It worked like this: A surgeon cut a hole in the upper part of the stomach and put surgical staples in the stomach toward the top of it, making a small pouch. After that, the surgeon put a plastic band through the hole, wrapping it around the bottom end of the pouch to prevent stretching.  Food moved from the pouch through a small opening to the rest of the stomach.
One study published in JAMA examined people who had gastric bypass surgery at one, three, six, and 24 months after surgery and found that patients' risk for increased alcohol use after the procedure was significantly higher. This may be because patients have higher peak alcohol levels, and reach those levels more quickly, after bariatric surgery, although other theories do exist to explain the connection.
Bored yet? It’s okay—calorie-counting can be a real drag. I mean, who wants to do math after (or before) meals? That’s where an app that tracks calories for you really comes in handy. Input what you ate (or plan to eat) and let the app do all the calculations for you. For an app that lets you set a goal, track daily food and exercise, and connect to other fitness apps for comprehensive metrics, registered and licensed dietician Allison Childress, Ph.D., recommends Lose It!.
An invaluable tool for reaching your weight-loss goals, Lose It! tracks your meals, exercise, and nutrition. Documenting food is effortless with its built-in barcode scanner, searchable list of common grocery items, and database of popular restaurant meals’ nutritional facts. Plus, when you need some extra motivation, the app’s social features make it easy to find inspiration from friends and cheer each other on.
"If you're too irresponsible to: a) own up to the fact that you have a personal trainer, nutritionist, probable chef, and a surgeon to achieve your aesthetic, rather than this laxative product... and b) tell them the side effects of this NON-FDA approved product, that most doctors are saying aren't healthy," Jameela wrote. "Then I guess I have to."
In gastric sleeve surgery, also called vertical sleeve gastrectomy, a surgeon removes most of your stomach, leaving only a banana-shaped section that is closed with staples. Like gastric band surgery, this surgery reduces the amount of food that can fit in your stomach, making you feel full sooner. Taking out part of your stomach may also affect gut hormones or other factors such as gut bacteria that may affect appetite and metabolism. This type of surgery cannot be reversed because some of the stomach is permanently removed.
Buy an iced tea maker. During warmer months, drinking hot tea may not sound like fun; however, you can still consume just as much tea by using an iced tea maker. Like the electric teakettle, simply fill the machine with water; add ice (according to the manufacturer’s directions) and teabags. Turn it on and begin drinking fresh iced tea in a matter of minutes.

Saxenda (liraglutide [rDNA origin] injection): This injectable medication helps dieters to feel full sooner so that they eat less and lose weight. Saxenda can be used by patients who are obese (with a BMI of 30 or more) or by patients who have a BMI of 27 or more and a weight-related medical condition such as type 2 diabetes, high cholesterol or high blood pressure.

Some of the teas contain caffeine for an extra bolt of energy. More controversially is the inclusion of laxatives, which does help eliminate waste, but can have negative health consequences if consumed frequently. It’s true that our bodies naturally cleanse for us when it comes to the liver and kidneys, but when taken responsibly, weight loss teas further help move things along acting as a diuretic to flush out toxins and help us slim down when sipping before a workout.
It doesn't matter what diet you're on, or what specific approach you're taking to losing weight: At the end of the day, success comes down to calories in vs. calories out. That's why we're such big fans of the MyFitnessPal app, which has a database of more than 1 million foods, complete with counts on calories, macros, and other nutrients. Don't know how many calories are in that turkey burger? MyFitnessPal can help you out. Plus, it can help you set the right weight loss goals based on your current weight, how much you want to lose, and your current exercise level.

Saxenda (liraglutide [rDNA origin] injection): This injectable medication helps dieters to feel full sooner so that they eat less and lose weight. Saxenda can be used by patients who are obese (with a BMI of 30 or more) or by patients who have a BMI of 27 or more and a weight-related medical condition such as type 2 diabetes, high cholesterol or high blood pressure.


Short-term results for the LGIT indicate that at one month approximately half of the patients experience a greater than 50% reduction in seizure frequency, with overall figures approaching that of the ketogenic diet. The data (coming from one centre's experience with 76 children up to the year 2009) also indicate fewer side effects than the ketogenic diet and that it is better tolerated, with more palatable meals.[18][50]
People use a ketogenic diet most often to lose weight, but it can help manage certain medical conditions, like epilepsy, too. It also may help people with heart disease, certain brain diseases, and even acne, but there needs to be more research in those areas. Talk with your doctor first to find out if it’s safe for you to try a ketogenic diet, especially if you have type 1 diabetes.

^ Jump up to: a b c d e f g h i j k l m n o p q r s Kossoff EH, Zupec-Kania BA, Amark PE, Ballaban-Gil KR, Bergqvist AG, Blackford R, et al. Optimal clinical management of children receiving the ketogenic diet: recommendations of the International Ketogenic Diet Study Group. Epilepsia. 2009 Feb;50(2):304–17. doi:10.1111/j.1528-1167.2008.01765.x. PMID 18823325


I actually went on a ketogenic diet last year to see if it would help my migraines. I have a history of chronic migraines which would usually last 3 days, sometimes longer. Triptans help a lot but I don’t like having to take them. I stayed in ketosis for about 8 months and experienced a significant reduction in migraines, from feeling some type of headache (mild o r severe) almost everyday to 1 or 2x per month while in ketosis. Although I’m very healthy otherwise, I do think my migraines may have something to do with blood sugar fluctuations (despite previously eating a whole foods diet and no refined carbs), and keto totally stabilized this. I eventually came off of Keto because I’m not really a meat lover. When I came off, but remained low carb, my migraines stayed under control for the most part. When I increase carbs, they do return.
Ephedra or Bitter Orange: When ephedra was banned from the market in 2004, a number of similar stimulants took its place. Most advertise that they are ephedra-free and safe for dieters. They often contain bitter orange (citrus aurantium), synephrine or octopamine. Two of the most popular products, Xenadrine EFX and Advantra Z, were tested by researchers and still found to have unsafe effects on heart rate and blood pressure.
After initiation, the child regularly visits the hospital outpatient clinic where they are seen by the dietitian and neurologist, and various tests and examinations are performed. These are held every three months for the first year and then every six months thereafter. Infants under one year old are seen more frequently, with the initial visit held after just two to four weeks.[9] A period of minor adjustments is necessary to ensure consistent ketosis is maintained and to better adapt the meal plans to the patient. This fine-tuning is typically done over the telephone with the hospital dietitian[19] and includes changing the number of calories, altering the ketogenic ratio, or adding some MCT or coconut oils to a classic diet.[18] Urinary ketone levels are checked daily to detect whether ketosis has been achieved and to confirm that the patient is following the diet, though the level of ketones does not correlate with an anticonvulsant effect.[19] This is performed using ketone test strips containing nitroprusside, which change colour from buff-pink to maroon in the presence of acetoacetate (one of the three ketone bodies).[45]
Russel Wilder first used the ketogenic diet to treat epilepsy in 1921. He also coined the term "ketogenic diet." For almost a decade, the ketogenic diet enjoyed a place in the medical world as a therapeutic diet for pediatric epilepsy and was widely used until its popularity ceased with the introduction of antiepileptic agents. The resurgence of the ketogenic diet as a rapid weight loss formula is a relatively new concept the has shown to be quite effective, at least in the short run.

I bought them from amazon and find the same one here and happy about it because it's actually faster and easier to buy from Walmart then amazon because you get 2 days shipping without purchasing a prime account additionally and you can pay with PayPal here which is really convenient for me ! So about the peals , I actually athlete so I do body building and sometimes people like me need to gain and they gaining muscles but also fat it's a normal process . Well In order to be cut , me as every body builder Doing fat burning from time to time . This peals helps me with it but of course you need to have your experience and diet on point !
Aside from carb flu, be warned that staying in long-term, continuous ketosis may have drawbacks that may actually undermine your health and longevity. To stay on the safe side, I recommend undergoing a cyclic ketogenic diet. The "metabolic magic" that ketosis brings to the mitochondria actually occurs during the refeeding phase, not during the starvation phase.
After increasing water intake and replacing electrolytes, it should relieve most all symptoms of Keto Flu. For an average person that is starting a ketogenic diet, eating 20-30g of net carbs a day, the entire adaptation process will take about 4-5 days. My advice is to cut your carbs to fewer than 15g to ensure that you are well on your way into ketosis within one week. If you are experiencing any more keto flu symptoms, double check your electrolyte intake and adjust.

Detox teas are teas blended with some extra herbs that claim to help you cleanse your body and shed unwanted fat. The ingredients vary from brand to brand (DetoxMe, Teami, and SkinnyFit are three popular ones), but generally, you’ll get a mix of tea leaves, like green, black, or oolong, plus other plants and herbs that are touted for their ability to help you de-bloat and drop pounds. Often you’ll find tea blends with dandelion root, peppermint, yerba mate, ginger, lime leaf extract, and senna leaf.
But that doesn't necessarily mean it doesn't work. So I decided to test that theory and try Fit Tea for a full 14 days and record how I felt, what I saw, and if it fulfilled its claims at the end. Going into the experiment, my expectations were not particularly high. It is just tea, after all. If I've learned anything from my time spent with beauty editors, fitness experts, and nutritionists, it's that healthy weight loss with staying power doesn't happen overnight. Then I read the reviews:

Here are a few of the most common side effects that I come across when people first start keto. Frequently the issues relate to dehydration or lack of micronutrients (vitamins) in the body. Make sure that you’re drinking enough water (close to a gallon a day) and eating foods with good sources of micronutrients. To read more on micronutrients, click here >
Weight loss of 5 to 10 percent of your starting body weight may help improve your health by lowering blood sugar, blood pressure, and triglycerides. Losing weight also can improve some other health problems related to overweight and obesity, such as joint pain or sleep apnea. Most weight loss takes place within the first 6 months of starting the medication.
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