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The post attributes the delay to telogen effluvium, in which follicles shift prematurely from the growth phase into the shedding phase

I saw my percent body fat go down and my lean muscle increase, which are actually way better markers and metrics of well-being and longevity than a BMI, which often kind of gets it wrong, he says

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Fat loss in the middle of the face can lead to flattening and hollowing of the cheeks, deepening of the nasolabial folds and downward migration of facial tissues