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Use an insulated medical cooler with refreezable gel packs rated to maintain 28C for at least 24 hours

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doi: 10.3390/ijms20205160 103 O'ReillyAMCurrieRWClarkeDB

Concepts such as identity lag or ghost fat, where psychological self-perception lags behind physical change, have been documented in both surgical and pharmacological contexts [70, 71]

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Obesity can cause severe diseases in childhood and adolescence and is a risk factor for obesity, cardiovascular morbidity and mortality, diabetes mellitus, and other chronic diseases in adulthood (287)