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In addition, from the point of view of immune regulation, obesity-induced OS can enhance M1 macrophage polarization, increase the cytotoxicity of NK cells, increase the expression of pro-inflammatory cytokines and further impair endometrial decidualization by suppressing the population of FOXP3+ regulatory T cells ( Furthermore, decidualization is a process of coordinated changes in cell morphology and function, angiogenesis, extracellular matrix remodeling, and adaptation of the immune microenvironment

Long-term: Muscle loss risk (recommend protein/exercise)

Research by Zolotarev et al

When patients leave my office after weve had this conversation, I can see the wheels turning in their heads

A simple cardboard box inside the fridge works perfectly