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This combination, therefore, outperformed others in terms of clinical and metabolic effects (200)

Common reasons plateaus occur include: Metabolic adaptation as the body burns fewer calories Reduced calorie deficit as weight decreases Loss of lean muscle mass, which lowers metabolic rate Changes in activity levels over time Stress, sleep disruption, or hormonal fluctuations Metabolism plays a central role in this process

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That variability is exactly why measuring disease matters

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