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Funding This analysis, the preparation of the manuscript, and the Journals Rapid Service Fee were financially supported by Eli Lilly and Company

Processed Foods and Sugars Highly processed foods, especially those rich in sugars, can increase oxidative stress in the body and deplete glutathione levels

Procedural factors influencing risk include procedure urgency (emergency versus elective), duration and complexity, requirement for general anaesthesia versus regional techniques, and institutional experience with alternative management strategies [50]

A "plateau" on the scale doesn't mean the protocol stopped working

S., Berman, B., & Swenson, N

Most individuals experience gradual appetite suppression, early satiety, and reduced food cravings, which may support sustained dietary adherence without extreme restriction