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Leptin levels drop, signaling starvation to the brain
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In-person care also supports accountability
This staircase pattern of increasing effectiveness is intentional and explains why the clinical trial results, averaging 15 to 17% total body weight loss, were measured at week 68 rather than week 4
Author contributions The following authors: KT, RC, AY, JO, TN, KS, CV, MS, and ET were involved in both subject recruitment and conducting the assays
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