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From my standpoint and the standpoint of a lot of other people, it does tend to fall into the next fad diet category, says Elizabeth Lowden, MD, a Warrenville, Illinoisbased physician who is board-certified in obesity medicine

Among these disturbances, metabolic dysfunction, especially obesity and insulin resistance significantly contribute to the development of long-term issues such as type 2 diabetes, dyslipidemia, and cardiovascular disease

Doses are adjusted based on lab results, how the patient responds, and individual assessments

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As soon as you stopped taking the medication, the pounds came back just as quickly as they were lost