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Chronic stress drives weight regain Cortisol, the primary stress hormone, promotes fat storage, particularly visceral fat around the midsection

A patient with significant constipation, reflux, a history of gallbladder issues, diabetes medication interactions, dehydration risk, or inadequate protein intake may need a different strategy than a patient whose main concern is appetite control

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GLP-1 medications work by: Slowing stomach emptying, so you feel full longer Suppressing hunger signals in the brain Increasing insulin release and reducing blood sugar spikes Reducing glucagon, a hormone that raises blood sugar This helps patients lose weight naturally while maintaining balanced blood sugar levels

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We've known for decades that it's a combination of biology, genetics, physiology, environment, social drivers of health