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Opioids were designed to reach receptors in the brain, causing pain reduction and feelings of euphoria

Week 13-24: Major transformation Physical changes: 25-40 pounds total weight loss (highly variable based on starting weight) Dramatic body shape changes Features previously hidden by fat now visible (cheekbones, jawline, abs) Size dropped significantly (2-4 clothing sizes) What photos show: This looks like a different person

The clinician signs as a witness

A pediatrician who recommends fluids and rest rather than an IV is applying appropriate clinical judgment, not giving a runaround

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